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    Are you in the city limits? YesNo

    CountyDade CountyWalker County

    How does your power service attach to you home?ArialBuriedA Combination of Both

    If you have a Trenton Telephone line to your home, how does that line attach to you home? ArialBuriedA Combination of Both

    Approximately how many feet is your home from the road?

    Is your home under construction?YesNo







    Complete this section if you are applying for a Residential Bundle or Fiber Internet

    Bundle Plans

    Elite $173.95 mo. plus tax and feesEnhanced $153.95 mo. plus tax and feesEssential $133.95 mo. plus tax and feesEconomy (Basic TV & 60 MBps Internet) $85.95 mo. plus tax and fees

    Other Options


    Additional Add-OnsRental Router $10 mo plus tax and feesHD Equipment $7.95 moIn-Home Protection $6.45 moWhole Home DVR $3.95 moExpanded Plus $9.95 moShowtime $18 mo.Starz/Encore $12 mo.

    Fiber Internet Plans

    Fiber Internet with telephone 250 Mbps $69.95 per mo. plus tax and fees500Mbps $99.95 per mo. plus tax and fees1 GIG $189.95 per mo. plus tax and fees

    Complete this section if you are applying for DSL with Telephone


    Do you want a PIC Freeze on your selected carrier? YesNo

    Block 900 & International Numbers? YesNo

    Collect & 3rd Number Blocked? YesNo


    Choose which plan you would like:
    DSL w/ Telephone $54.95 mo. plus tax and fees 768 KB Download 256 KB UploadDSL Plus w/ Telephone $74.95 mo. plus tax and fees 5 MG Download 1 MG UploadDSL Ultimate w/ Telephone $84.95 mo. plus tax and fees 6 MG or better Download 1 MG Upload (Selected Areas Only)


    Prices Listed do not include applicable taxes or fees. Our service terminates at the demarcation box outside your location.

    Upload a picture of your Driver's License

    Notes: