NY Consolidated Communications Fiber Order Form

Consolidated Communications Fiber Internet Order Form

CUSTOMER INFORMATION

Fiber Internet Service

*Limited-time offer for first year of residential internet service. Prices are before taxes and surcharges. WiFi equipment required; included in advertised price. Standard rates apply after promotion. No annual contract. Service availability, speed and uninterrupted service not guaranteed. Wireless speeds vary.

Internet Features

Customer Name
Customer Name
First
Last
Sales Rep Name
Sales Rep Name
First
Last
AM/PM
Preferred Install: 1st Date time
AM/PM
Preferred Install: 2nd Date time
AM/PM
Preferred Install: 3rd Date time
Plus Taxes and fees

General terms and Conditions

Notice of Cancellation