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WaveStar Wireless Service Application
This form is used to collect basic information so that we can find what services we can provide to you. If we cannot provide services to you yet, you will be added to a list for future expansions.
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* Indicates required question
Residential or Commercial Service
*
Residential
Commercial
Full Name
*
Your answer
Phone Number
*
DO NOT ENTER A LANDLINE OR ANY OTHER PHONE YOU DO NOT HAVE AVAILABLE AT ALL TIMES
Your answer
Email Address
*
DO NOT ENTER AN EMAIL ADDRESS YOU DO NOT REGULARLY CHECK
Your answer
Address
*
Your answer
Describe Your Internet Usage
*
Your answer
Current Provider
Windstream
TruVista
Other:
Clear selection
Current Speeds
10-25mbps
25-50mbps
50-250mbps
250-500mbps
500+mbps
Other:
Clear selection
Current Price
Under $25
$25-$45
$45-$65
$65-$85
$85-$100
Over $100
Clear selection
Preferred Contact Method
*
DO NOT SELECT A METHOD YOU DO NOT CHECK REGULARLY
Phone
Email
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