Auburn Fiber Interest

First Name *

Last Name *

Service Address *

City *

State *

Zip *

Phone *

Email *

How long have you been at your current address?

INTERNET

Do you currently have internet with another provider?

Yes

No

If yes, what internet speed are currently paying for?

What are you paying for the above speed package?

Who is your current internet provider?

Are you under contract with your current provider?

Yes

No

If yes, do you know when your contract expires?

Yes

No

Contract Expires when?

Auburn Proposed Fiber Boundary
Auburn fiberhood boundary

DIGITAL TV

Do you currently have TV with another provider?

Yes

No

If yes, what are you paying for your TV package?

Who is your current TV provider?

Are you under contract with your current provider?

Yes

No

If yes, do you know when your contract expires?

Yes

No

Date contract expires?

If yes, how many TVs would you need connected?

PHONE

Do you currently have Phone service with another provider?

Yes

No

If yes, what are you paying for your service?

Who is you current Phone provider?

Are you under contract with your current provider?

Yes

No

If yes, do you know when your contract expires?

Yes

No

Date contract expires?

FIBER SERVICES

Based on the information & pricing provided, which of the following WIN services would you be willing to commit to?

The Works Bundle

Internet *

100 Mbps

500 Mbps

1 Gbps

No Thank You

TV *

Expanded

Supreme

No Thank You

Phone

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