Sign up for Fiber Optic service!Customize your fiber optic service package! Ckpt - Sign Up Form 2022 SERVICE ADDRESS SERVICE ADDRESS * UNIT/ APT NUMBER CITY * STATE * ZIP CODE (example: 61951) * DATE OF BIRTH FIBERHOOD FIRST NAME * LAST NAME * PRIMARY PHONE * SECONDARY PHONE EMAIL ADDRESS (example: jsmith@123test.com) * BILLING ADDRESS BILLING ADDRESS THE SAME? * SAME AS SERVICE ADDRESS BILLING ADDRESS * UNIT/ APT NUMBER CITY STATE AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ZIP CODE * DO YOU RENT OR OWN THE PROPERTY? * OWN RENT IS YOUR LANDLORD A MANAGEMENT COMPANY OR AN INDIVIDUAL? MANAGEMENT COMPANY INDIVIDUAL MANAGEMENT COMPANY NAME * MANAGEMENT COMPANY PHONE NUMBER * MANAGEMENT COMPANY EMAIL ADDRESS * ARE YOU CURRENTLY AN EXISTING CONXXUS CUSTOMER? * YES NO If you are human, leave this field blank. Next Δ
