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It's time to build your Fiberhood! Sign up today to receive your ultimate Internet upgrade!
First Name
*
Last Name
*
Title of Primary Subscriber
Mr.
Ms.
Mrs.
Dr.
Jr.
Date of Birth
*
Primary Phone Number
*
Secondary Phone Number
Email (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.)
*
Service Address
*
City
*
State
*
Zip
*
Do you live in the city limits?
*
Yes
No
Is your billing address different from your service address?
Yes, they are different.
No, they are not.
Billing Street Address
*
Billing City
*
Billing State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Billing Zip
*
Your Fiberhood
Are you currently an existing Customer?
Yes I'm a current customer
No, I am not a current customer
Do you rent or own the property where you are looking for service?
Rent
Own
Landlord Name
Landlord Email
Landlord Phone Number
Residential Fiber Packages
Type of Package?
Internet Only
Internet & Phone
Internet & TV
Internet, Phone, & Enhanced TV
Individual Internet Packages
(Choose your package)
Package
Fiber Gateway & Equipment (Included)
Double Play Bundle w/ Phone
Package
Fiber Gateway & Equipment (Included)
Double Play Bundle w/Enhanced TV
Package
Fiber Gateway & Equipment (Included)
Triple Play Bundle
Package
Fiber Gateway & Equipment (Included)
Add Ons
Fiber Maintenance ($3.95/mo.)
Additional TV Set Top Box ($7.50/mo.)
Number of Set Top Boxes (In Total)
1
2
3
4
5
Video Maintenance ($4.95/mo.)
Ultra TV Channels ($15.00/mo.)
EPIX Premium Movie Channels ($7.00/mo.)
STARZENCORE Premium Movie Channels
Home Security Monitoring (Starts at $24.95/mo.)
CLOUD DVR with Restart TV* (Coming Soon)
100GB storage - 2 Simultaneous Recordings - $5
100GB storage - 2 Simultaneous Recordings + Restart TV - $6
250GB storage - 4 Simultaneous Recordings + Restart TV - $8
1TB storage - 8 Simultaneous Recordings + Restart TV - $15
Digital Phone
Would you like to keep your current home phone number?
*
Yes
No
Who is your current Phone Provider?
*
Long Distance Carrier Name
Current Phone Number
*
Battery Back Up
8 Hour Phone Battery Back Up (Included)
24 Hour Battery Back Up ($13.95/mo.)
Data Storage - Keepit/My Backup
Everyone knows backup is critical. Keepit service allows you to easily protect files on your computer to recover and “restore” them should the computer fail. Keepit is your easy backup solution. It offers a simple, secure and straightforward way to help backup family photos, videos and important documents. It’s a simple and award-winning online backup solution to secure your most important data from the accidental deletion of files to catastrophic data loss as a result from hardware failure or natural disaster like fire or flooding.
Keepit/My Backup Options
Keepit/MyBackup 5GB $0.99
Keepit/MyBackup 25GB $2.99
Keepit/MyBackup 50GB $5.99
Keepit/MyBackup 100GB $9.99
Keepit/MyBackup 250GB $15.99
Email
Options
Residential Email Address $6.99
Add'l Email Address (per address) $2.00
Individual Email Address Quantity
1
2
3
4
5
6
7
8
9
Add'l Email Blocks of 10 $9.95
Email Blocks Quantity (groups of 10)
10
20
30
40
Bill Payment & Additional Options
Bill Pay Options
*
Paperless Billing
Paper Bill
Paper Bill with Call Detail ($1.99 per month)
How did you hear about Sandhill Fiber?
*
Email
Community Event
Direct Mail
Facebook
Sandhill Employee
Sandhill Service Truck
Referred by a friend/neighbor
Web Advertisement
Web Search
Other
Name of Sandhill Employee
Name of friend/neighbor
Other
To assist our construction crew, please list any fences or buried facilities (geothermal lines, sprinkler system, etc.) on your property that would not be found during a PUPS locate.
Any comments or additional information that we should be aware of?
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