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Title

Primary Contact Number *

Secondary Contact Number

Email Address *

Service Address *

City *

State *

Zip *

Unit

Your Neighborhood

Is your billing address different from your service address?

Yes, they are different.

No, they are not.

Billing Street Address *

Billing City *

Billing State *

Billing Zip *

Do you rent or own the property where you are looking for service?

Rent

Own

Landlord Name

Landlord Email

Landlord Phone Number

CHOOSE YOUR SERVICE TYPE!

I would like to explore individual services

I'm curious on bundle offerings

Velocity Internet

Package

Save More With A Velocity Bundle

MyWiFi
$5.95/month
Access the internet from any device anywhere in your home! MyWiFi provides fast, secure access to the internet on all of your WiFi capable devices such as smartphones, tablets, gaming systems. *

MyWiFi X
$2.95/unit per month
Improve the coverage of your WiFi and enhance your reliability and performance.

Velocity Video

Packages

Package

Broadcast TV Surcharge * *

$17.87/month

*Limited Basic Video and broadcast TV surcharges required for all Video packages.

Premium Packages
Please let us know which Premium Package you are interested in learning more about.

HBO

STARZ/STARZ ENCORE

Cinemax

Showtime

Sports

NFL Redzone HD -$49.99/year

LOOP Whole-Home DVR

LOOP Whole-Home DVR - $14.95/month

Connect your whole home with LOOP HD DVR. Enjoy the freedom of watching any recording on any connected TV. Record up to five HD channels at a time!

LOOP HD Digital Player - $7.00

BUILD THE PERFECT FIBER BUNDLE

With our new Good, Better, Best, Excellent Bundles, it's never been easier to build the perfect bundle. Choose your internet speed, then choose your Video package and you're done! Customize your bundle even further with Add-Ons like LOOP Whole-Home DVR, MyWiFi, Unlimited Voice, 24-7 Security and Home Automation.

EXCELLENT SPEED_container package-table"> STEP 1.) CHOOSE YOUR INTERNET SPEED *

Package

BETTER VIDEO_container package-table"> STEP 2.) CHOOSE YOUR VIDEO PACKAGE *

Package

BETTER VIDEO_container package-table"> STEP 2.) CHOOSE YOUR VIDEO PACKAGE *

Package

BETTER VIDEO_container package-table"> STEP 2.) CHOOSE YOUR VIDEO PACKAGE *

Package

BETTER VIDEO_container package-table"> STEP 2.) CHOOSE YOUR VIDEO PACKAGE *

Package

MyWiFi
Access to the internet from an device anywhere in your home! MyWiFi provides fast, secure access to the internet on all of your WiFi capable devices such as smartphones, tablets, gaming systems.
*

MyWiFi X
$2.95/year unit per month
Improve the coverage of your WiFi and enhance your reliability and performance.

Broadcast TV Surcharge * *

$17.87/month

*Limited Basic Video and broadcast TV surcharges required for all Video packages.

Premium Packages
Please let us know which Premium Package you are interested in learning more about.

HBO

STARZ/STARZ ENCORE

Cinemax

Showtime

Sports

NFL Redzone HD -$49.99/year

LOOP Whole-Home DVR

LOOP Whole-Home DVR - $14.95/month

Connect your whole home with LOOP HD DVR. Enjoy the freedom of watching any recording on any connected TV. Record up to five HD channels at a time!

LOOP HD Digital Player - $7.00

DIGITAL VOICE

Because Home Telecom's Digital Voice is delivered via state-of-the-art Fiber network, our subscribers enjoy industry leading voice equality and unparalleled service stability. Hearing is believing! *

Yes, I would like crystal clear Digital Voice for $35.00+ taxes.

No Thank You

Number of phone lines that need service *

Would you like to keep your current home phone number? *

Who is your current Phone Provider?

Current Phone Number Line 1

Current Phone Number Line 2

SECURITY & HOME AUTOMATION

Interested in Home Telecom's Security & Home Automation? *

Yes, I would love to learn more!

No Thank You

Packages as low as $24.99/month!
Control your home from anywhere with our latest solution that gives you the peace of mind of 24/7 Monitoring with the added convenience of Home Automation!

Additional Information

How did you hear about Home Telecom? *

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 standard locate.

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You can get Fiber now! Sign up today to receive your ultimate Internet upgrade!

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BUILD THE PERFECT FIBER BUNDLE

DIGITAL VOICE

SECURITY & HOME AUTOMATION

Additional Information

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You can get Fiber now! Sign up today to receive your ultimate Internet upgrade!

CHOOSE YOUR SERVICE TYPE!

Velocity Internet

Velocity Video

BUILD THE PERFECT FIBER BUNDLE

DIGITAL VOICE

SECURITY & HOME AUTOMATION

Additional Information