Wabash Communications
Illinois Fiber Connect
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SignUp Form
First Name
*
Last Name
*
Date of Birth
*
Address
City
State
Zip
County
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Your Fiberhood
Do you rent or own the property?
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Rent
Own
Property Owner First Name
*
Property Owner Last Name
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Property Owner Number
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Property Owner Email
Have you lived in your current address for at-least 5 years?
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Yes
No
Applicant's Previous Street Address
Previous Address City
Previous Address 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
Previous Address Zip
Is your billing address different than your service address?
*
Yes
No
Billing Street Address
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Billing City
*
Billing 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
Billing Zip
*
Current Customer?
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Yes
No
Preferred contact method
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Email
Phone
Email
*
(All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.)
Primary Contact Number
*
.
Internet Service
Text
Internet Service Package
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Package
Pricing
1 Gig / 100 Mbps
$100.95/month
500 Mbps / 50 Mbps
$80.95/month
250 Mbps / 25 Mbps
$60.95/month
Internet Service Package
*
Package
Pricing
GIG FOR LIFE!
$70 +$4.95 equipment fee/month
1 Gig / 100 Mbps
$100.95/month
500 Mbps / 50 Mbps
$80.95/month
250 Mbps / 25 Mbps
$60.95/month
All packages have a $4.95 equipment fee included in their pricing EXCEPT the GIG FOR LIFE! Package.
Terms of Service
*
1 Year Service Agreement = Free Installation
Month by Month Service = $150 Installation Fee
*Credit Score will determine contract eligibility.
Do you mind telling us why?
Currently in a contract
Pricing
I like my current provider
Other
Other
Mesh Network - Better WiFi Coverage and Experience
We recommend one if - your home is over 1500 sq. ft, you have an attached or detached garage in close proximity of your home, or if your home has levels.
*In rare cases where you may need more than one we will be able to evaluate your home upon install.
$4.95/month
TV Service
TV Service Package
Package
Pricing
Silver
$39.98/month
Gold
$85.98/month
Platinum
$105.98/month
Not at this time
For more details on channel lineups, please click
here
For complete channel lineup, please click
here.
TV Package
*
Package
Pricing
Starter
$28.03/monthly
Awesome
$84.03/monthly
Rockstar
$105.03/monthly
Not at this time
3 TV Stream included w/TV, additional Streams x $1.00/Stream/Month
How many additional streams do you need?
Each TV requires an Amazon Firestick or other
compatible device.
How many Firesticks would you like to purchase? $50.00/Amazon firestick
For more details on channel lineups, please click
here
For more details on channel lineups, please click
here
DVR Service
*
100 Hours - Included for FREE
150 Hours $2.00/month
200 Hours $4.00/month
Additional TV's - $5.49 each
*
2
3
4
5 or more
No thank you
Single TV DVR (Fiber only/single TV)
$6.95/month
No Thank You
Whole Home DVR (Fiber Only/Multiple TV's)
Whole Home DVR Service ($10.95 per month)
Not at this time
Premium Channels
HBO ($17.95 per month)
STARZ/ENCORE ($13.95 per month)
SHOWTIME ($13.95 per month)
REDZONE ($43.95 per NFL season)
CINEMAX ($13.95 per month)
Block Adult Content?
*
Yes, please block adult content
Not at this time
Do you mind telling us why?
*
Currently in a contract
Pricing
I like my current provider
Other
Other
Phone Service
Phone Service Options
*
VOIP Unlimited Long Distance ($29.95 per month)
Not at this time
Phone not available in all areas
Phone Service Options
*
Unlimited Local & Long Distance ($27.43 per month)
Not at this time
Phone not available in all areas
Phone Service Options
*
150 Long Distance Minutes ($34.48 per month)
Unlimited Long Distance Minutes ($54.48 per month)
Not at this time
Phone not available in all areas
Number of Phone Lines
*
1
2
Would you like to keep your current phone number?
*
Yes
No
Account number from existing phone service
*
Billing Name
*
Who Is Your Current Phone Provider
*
AT&T
Comcast
Frontier
Windstream
Consolidated Communications (CCI)
Other
Who Is Your Current Phone Provider
Current Phone Number
*
Current Phone Number Line 2
*
Additional Calling Features
Voicemail
Call Waiting
Call Forward
Your name, address, and phone number are not published in the Wabash Area Wide Directory, but your telephone number is available from Directory Assistance.
Your name, address, and telephone number are not published in the Wabash Area Wide Directory and is not available from Directory Assistance."
Would you like your number listed in the Area Wide Directory?
*
Yes, I would like my number listed in the Area Wide Directory
No, I would like to be Non-listed
No, I would like to be Non-Published (.50ยข/mo)
How would you like your name listed?
*
Would you like your full address listed or town only?
*
full address
town only
UPS Battery - Note: Phone service will NOT work in case of power outage without a UPS battery backup installed. This is not mandatory, but without it, access to E911 will not work when power is out.
Yes I want a UPS
*
8 Hour Battery Backup
24 Hour Battery Backup
No - I elect NOT to use a UPS and I understand the risk
8 Hour ONT $3.00
24 Hour ONT $15.00
Bill Pay Options & Additional Information
So that a representative is free to discuss and/or provide detail information to me during a call that I initiate to your business office, please establish the following password for my account.
It is a term established by the Federal Communications Commission (FCC), which governs how data collected by telecommunication companies about a customer's telephone calls is controlled. For your privacy protection and security, our customer service representatives will ask you for your CPNI PIN or account password
CPNI Password
*
CPNI 4 digit pin number
*
Security Question: Please answer 2 security questions
What city were you born?
What is the name of your first boss?
Favorite Color?
What is the name of your favorite movie?
What city were you born?: Answer
*
What is the name of your first boss?: Answer
*
Favorite Color?: Answer
*
What is the name of your favorite movie?: Answer
*
Please specify any authorized users you would like to be able to make changes to your account.
Authorized User 1
Authorized User 2
Authorized User 3
Authorized User 4
Bill Pay Options
*
SAVE $2/Month: Email Bill (Auto-Pay/Bank Draft)
Email Bill (Mail in Payment/Pay Online)
Paperbill (Mail in Payment/Pay Online)
Wire Maintenance (All Fiber Services are included)
*
$3.00 per month
Not at this time
Representative
Please tell us anything that our construction crews need to be aware of in your yard. (Dog Fence, Sprinkler System, etc)
Do you have another location on your property needing service?
*
Yes
No
*A one-time fee of $.85 per foot, per service will apply.
*A one-time fee of $1.70 per foot, and a $7.00 monthly charge per service will apply.
Which services do you need at your additional location?
Voice Services
Internet Services
Video Services
Questions or Comments
Terms and Conditions
*
I agree to
Terms and Conditions
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Wabash Communications
Illinois Fiber Connect
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