Interest Form Pre-Filled

Thank you for your interest in HomeTel Fiber! Please complete the form below to let us know you are ready to have HomeTel Fiber brought to your home or business. A representative from HomeTel will reach out to you soon to go over the next steps.

Customer Information

First Name *

Last Name *

Email *

Primary Phone *

Primary Phone Type *

Cellular

Landline

Secondary Phone

Secondary Phone Type

Cellular

Landline

Service Address

Service Address *

City *

State *

Zip *

Mailing Address

Is your Mailing Address different than your Service Address? *

Yes

No

Mailing Street Adress *

Mailing City *

Mailing State *

Mailing Zip *

Home Ownership Information

Do you own or rent the location you would like a fiber connection? *

Own

Rent

Landlord Name *

Landlord Email

Landlord Phone *

Your Current Connection

As we expand our fiber network, submissions like yours help us apply for funding that would allow us to bring high speed internet to your location. Please test your connection speed and answer the questions below to help us bring our service to you!

Provided by Meter.net

Download Speed

Upload Speed

If internet connection issues have negatively affected you or your family, please share how this has impacted you:

Who is your current Internet Provider? *

Who can we thank for referring you to us?

How did you hear about us? * How did you hear about us?

Community Event Name? *

HomeTel Employee Name? *

Friend or Neighbor Name?

Would you be willing to place a HomeTel Fiber sign in your yard to encourage your neighbors to sign up as well?

Yes

no

Questions? Comments?

reCAPTCHA

Interest Form Pre-Filled

Customer Information

Service Address

Mailing Address

Home Ownership Information

Your Current Connection

As we expand our fiber network, submissions like yours help us apply for funding that would allow us to bring high speed internet to your location. Please test your connection speed and answer the questions below to help us bring our service to you!

Who can we thank for referring you to us?

CONTACT US

HOURS

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