ECTC SIGN UP FORM – 2022 Customer InformationResidential ServicesComplete and Submit0% Complete1 of 3 Customer Information Are you an existing customer? * Yes No If you are an existing customer and you are looking to make changes to your account or have questions please use the link here. First Name * Last Name * Primary Phone * Email * (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address). Business Name * Spouse’s First Name (if applicable) Spouse’s Last Name Spouse’s Email How did you hear about us? EmailDirect Mail/Post CardECTC EmployeeFriend or NeighborWeb SearchCommunity EventFacebookService TruckWeb AdvertisementYard Sign Service Address Information Service Address * City * State * Zip * Your Fiberhood * Billing Address Information Is your billing address different from your service address? * Yes, they are different. No, they are not. Street Address * City * State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip * Home Ownership Information Do you rent or own the property where you are looking for service? * Rent Own Landlord Name * Landlord Email Landlord Phone * If you are human, leave this field blank. Next
