Order Wireless Service

Wireless Installation Request

Please complete the form below to submit a service request. When possible, please provide your rural 911 address instead of your Rural Route and Box Number. For the best results, please use our Coverage Map to pinpoint your exact location. Once you’re finished with the map, click on Submit Query and the fields for Address and GPS coordinates will be filled out.

After this form has been submitted, our staff will contact you to schedule an installation appointment. You or an authorized representative must be present during installation with access to the inside of the building.

Full Name: *Required

Street Address: *Required

City: *Required

State: *Required

Zip Code: *Required

Phone Number: *Required (Format: xxx-xxx-xxxx)

Is your home....
 Rented Owned

Email Address:

Select Payment Option:  Equipment Package: $200 Rental Agreement: $7.95/month. (2-Year Contract and Autopay Required) I already own compatible radio equipment.

Network Options:

Comments, Directions, and Questions:

Latitude:

Longitude:

How did you hear about us? *Required

Input Code: captcha *Required