If you are human, leave this field blank.Property TypeCondoTownhomeSingle Family ResidenceApartmentHOA PropertyHow likely are you to subscribe to the following plansIf apartment or condo, how many other units in the building?1 to 45 to 1011+a 50Mbps - $50 per month *Very likelyLikelyNot likelyExisting Service Providerb 200Mbps - $60 per month *Very likelyLikelyNot likelyCurrent Broadband SpeedNo InternetLess than 1Mbps1-3 Mbps3-5 Mbps5-12 Mbps12-25 Mbps25-100 mbps100+ MbpsDo not knowc 1Gb - $79 per month *Very likelyLikelyNot likelyEmployment Status *Part time at home for another companyFull time at home for another companyI need nights and weekends access for company businessSelf-employed and work part time from homeSelf-employed and work full time from homeI would work from home with better broadband speedDo not work from homeCommentsHow important is internet access to you or your household?Very importantSomewhat importantNot importantNo opinionHow satisfied are you with your current Internet service?Not at all satisfiedSomewhat satisfiedSatisfiedVery satisfiedWhich other services do you currently receive? e.g. TV, Phone, SecurityYour InformationYour AddressAddress 1Opt out of communicationBy submitting your details, you are indicating your agreement with our Privacy and Cookie Policy and your consent to receiving communication, unless you have ticked the box below to indicate your objection to receiving this communication.Opt outAddress 2Address 3Your Zip Code *Your Email Address *Captcha *For security verification, please enter any random two digit number. For example: 73Submit
