ECTC Fiber SignUp form ECTC Fiber SignUp It's time to build your Fiberhood! Sign up today to receive your ultimate Internet upgrade! First Name * Last Name * Title Mr.Ms.Mrs.Dr.Jr. Date of Birth Primary Phone Number * Secondary Phone Number Work Phone Email (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.) * Spouse's Full Name (if applicable) Spouse's Email * Service Address * City * State * Zip * Is your billing address different from your service address? * Yes, they are different. No, they are not. Billing Street Address * Billing City * Billing State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY 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 * Available Bundles Bundle Packages * Package Upgrade your bundled Internet Speed options! * 20M/10M to 40M/20M $10 more/month40M/20M to 60M/30M $10 more/month60M/30M to 90M/60M $10 more/monthNo Thank You **Speeds not guaranteed in all areas. Internet Details Internet with Phone Service * Package **Includes all applicable phone charges, except sales tax, FUSC charges, any calling features and long distance. Speeds not guaranteed in all areas. Standalone Internet Options * Package *Speeds not guaranteed in all areas. Static IP Address $5.00 per Total number of 7' Ethernet Cable(s) $6.50 + Tax per unit Total number of 14' Ethernet Cable(s) $11.49 + Tax per unit Managed Wi-Fi & Router - $6.95/month TV Details Premium Channel Packages One month minimum charge on packages. Prices do not include applicable taxes and regulatory fees. HBO Premium Channels $20.95/month Cinemax Premium Channels $13.95/month HBO/Cinemax Premium Channels $27.95/month Starz/Encore Premium Channels $13.95/month Showtime Premium Channels $20.95/month High Definition options Advantage and Elite HD $9.95/monthChoice HD $3.95/month Digital Video Recorder (DVR) Digital Video Recorder (DVR) $9.95/month Additional Set Top Boxes - $4.95/Mo per box First Box is Free Internet Details *Internet speeds will reflect best available speed "up to". Customers will receive our fastest available speed to your home. Static IP Address $5.00 per Managed WiFi - $6.95/Mo Upgrade to a Gig Service - $100.00/Mo Extra Voice Details Custom Calling Features(The charge is $2.50 per month for each feature unless marked otherwise)*Call Trace is automatically on all lines and is billed at $1.00 per completed trace. Call Waiting Speed Dialing - 8 numbers Speed Dialing - 30 numbers ($3.00) Caller ID Preferred Call Forwarding Call Screening Special Call Acceptance Caller ID/Call Waiting ($6.00) Caller ID w/Name ($5.50) Telemarketing/Do Not Disturb ($3.50) Call Forwarding- (fixed or variable) Three Way Calling Call Transfer Priority Ringing Call Return Repeat Dialing Remote Active Call Forwarding Toll PIN Control ($3.50) Caller ID w/Name-Call Waiting ($8.50) Do you wish to have an 800 number? Yes Do you request an unlisted number or non-pub number? unlisted numbernon-pub number Do you wish to have Voice Mail? Standard ($3.50, 2 minutes per message, 20 messages)Standard Plus ($4.50, 3 minutes per message, 30 messages)Premium ($6.50, 3 minutes per message, 40 messages)Voice mail to e mail alert $1.50 per monthNo Thank You Do you want Long Distance capabilities? Yes The ability to call 800 numbers only? Yes Bill Payment & Additional Options E-Mail Account information - if Requested Username (4-20 characters) Password ( 8 char. Min.) Your Password must contain at least 8 charactersSelect a combination of letters or numbers that ONLY YOU can remember. Bill Pay Options * eBill PaperBill Plow Charges: $200 charge up to 300ft $350 Up to 750 feet $700 Over 750 feet up to 1,500 feet Any drops over 1,500 feet will be bid. * Yes, I have read the above Plow Charges and am aware that I will be responsible for any charges upon install. Plow Charges: One-time plow charge of $200. *Customers will receive our fastest available speed to your unit up to 100 Mbps. **Must subscribe to either Choice TV, Advantage TV or Elite TV to add High Definition TV. HDTV programming based on programming tier choice. Digital IPTV is not offered as a stand alone service, it must be taken with either High Speed Internet or land line phone service. Minimum of 4 months of service required. * Yes, I have read the above Plow Charges and am aware that I will be responsible for any charges upon install. How did you hear about us? * EmailCommunity EventDirect MailFacebookEmployeeService TruckReferred by a friend/neighborWeb AdvertisementWeb SearchOther 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 Gopher One Call locate. Any comments or additional information that we should be aware of? reCAPTCHA Submit
