Form Center

2. Step 1: Type of Customer

   1. Residential
   2. Nonprofit
   3. Commercial
3. Step 2: Your Location

   1. Inside City
   2. Outside City
5. Step 3: Your Services
7. Cable TV Service

   1. None
   2. Analog Basic ($19.85)
   3. Enhanced Basic ($67.30)
   4. Digital Basic ($85.95)
8. Internet Service

   1. None
   2. Tier 1 ($42.95)
   3. Tier 2 ($58.95)
   4. Tier 3 ($95.95)
9. Phone Service

   1. None
   2. Local ($34.95)
   3. National ($77.90)
11. Step 4: Your Add-Ons
    Service Add-ons, Static IP Address ($10)
13. Step 5: Your Equipment
15. Cable Equipment - Cable Card ($3)
16. Cable Equipment - DTA ($1.99)
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field