Interest Form ECTC and Crosslake Fiber Interest Sign up here to help bring Fiber to the Home services to your neighborhood! First Name * Last Name * Email Address (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.) * Service Address * City * State * Zip * Is your Mailing Address different than your Service Address? * Yes, they are different. No, they are the same. Mailing Street Address * Mailing City * Mailing 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 Mailing Zip * Primary Phone Number * Secondary Phone Number Who is your current Internet Provider? * Crosslake Communications ECTC Satellite OtherOther Who is your current Phone Provider? * Crosslake Communications ECTC Cell Phone OtherOther Who is your current TV Provider? * Crosslake Communications ECTC Dish DirecTV OtherOther How did you hear about us? * Website Web Ad Email Direct Mail (letter/postcard) Yard Sign Vehicle Decal Radio Ad Radio Talk Show TV Ad TV News Story Newspaper Ad Newspaper Article A Friend Door to Door Salesperson Facebook Event Other Door to Door Salesperson * Friend's name * Questions? Comments? reCAPTCHA Submit
