Shawnee Residential Fiber SignUp Shawnee Fiber SignUp It's time to build your Fiberhood! Sign up today to receive your ultimate Internet upgrade! Are you signing up for Business or Residential services? * Business Residential Title of Primary Subscriber MR.MS.MRS.DR.JR.Rather Not Say First Name * Last Name * Drivers License Number * Date of Birth * Business Name * First Name of Main Contact * Last Name of Main Contact * Business Tax ID#: * Email Address (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.) * Primary Phone Number * Secondary Phone Number Were you assisted by a customer service representative today? Yes, I was. No, I was not. Which representative assisted you? ATHENACHRISTYHANNAHJAMIELINLEYMARCIARANDY Service Address Service Address * City * State * Zip * Description of your home: * Directions to your home: * Are you within the city limits? * YesNo Do you have outside pets that our construction crew should be aware of? * YesNo Do you rent or own the property where you are looking for service? * RENTOWN Is there a locked gate blocking our crew from entering your drive? * YesNo We may require an easement from your property owner. Is your driveway longer than 600 FT? * YesNoUnsure Is your home a temporary structure? * YesNo What type of structure is your home? * HouseMobile HomeCamperYurtTiny HomePortable BuildingPole BuildingBarnGarageGreenhouseOther How did you hear about us? * EmailWeb/Social MediaReferral - Friend/RelativeShawnee EmployeeEventTruck/DecalSigns in the CommunityNewspaper AdOther If you were referred by one of our customers or one of our employees, please put their name(and phone number if applicable) in the space below. * Mailing Address Is your mailing address different from your service address? * Yes, they are different. No, they are the same. Mailing Street Address * Mailing City * Mailing State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Mailing Zip * Fiber Internet and Phone Options Fiber Internet Options 100M x 100M Standalone 500M x 500M Standalone Business Fiber Internet Options 100M x 100M Standalone 500M x 500M Standalone We offer 10% off residential internet to those that are or have ever been in the military. Yes, I am eligible to receive the military discount. No, I am not eligible for military discounts. By selecting yes, a customer service representative may ask for additional documents for verification. Additional Comments Captcha If you are human, leave this field blank. Press Submit & View Progress in your area!
