Western Iowa Networks SignUp – Arcadia

Sign up today to receive your ultimate Internet upgrade!

First Name *

Last Name *

Title of Primary Subscriber

Date of Birth *

Spouse's Name (Optional)

Spouse's Date of Birth (Optional)

Name of any other adults living with you

Primary Phone Number *

Secondary Phone Number

Email (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.) *

Service Address *

City *

State *

Zip *

Is your billing address different from your service address? *

Yes, they are different.

No, they are not.

Billing Street Address *

Billing City *

Billing State *

Billing Zip *

Are you currently an existing Customer? *

Yes I'm a current Customer

No, I am not a current customer

Account Number *

Do you wish to opt-out of direct marketing? *

Yes

No

Do you rent or own the property where you are looking for service? *

Rent

Own

A letter of credit from a utility or $50 deposit required for renters.

Landlord Name *

Landlord Email *

Landlord Phone Number *

Internet Service

Available Internet Packages *

Package

Internet service requires an ONT/Modem lease charge of $6.49 per month

The Gigacenter Wi-Fi router is included with this pricing but you are not required to use it. You may use your own if you wish.

If you would like a customized Wi-Fi network name and Wi-Fi password for your Gigacenter router, please let us know your preferences and we will set it up for you! *Note one special character is required and password must be at least 8 characters in length. [Ex. !@#$%^&*()]

Desired Wi-Fi Network Name

Desired Wi-Fi Password

TV

Basic Package $69.99 *

Yes, I would like the Basic Package.

No Thank you

*

Standard Installation $30.00 (One Time Fee)

Add HBO for only $18.49 per month

Yes

No

Voice Service

Western Iowa Networks Voice Service subscribers enjoy industry leading voice equality and unparalleled service stability. Hearing is believing! (Phone service is required in our incumbent exchanges which include Arcadia, Breda, Lidderdale, Westside, Farragut, Macedonia & Pacific Junction) *

Yes, I would like crystal clear Voice Service for $30.50 + taxes.

*Includes E911 surcharge
$50 Install Fee not included in the above monthly price

Would you like to keep your current home phone number? *

Yes

No

Who is your current Phone Provider? *

Number of new phone lines requested *

Number of phone lines to port *

Current Phone Number *

Current Phone Number Line 2 *

Bill Payment & Additional Options

Choose your term commitment *

How would you like to pay your term commitment fee? *

PayPal (Credit/Debit)

I will drop off my payment or mail it to your office at 603 N Adam St, Carroll, IA,

I will call 888-508-2946 to pay by credit/debit card over the phone

How would you like to pay your term commitment fee? *

I will drop off my payment or mail it to your office at 603 N Adam St, Carroll, IA,

I will call 888-508-2946 to pay by credit/debit card over the phone

Bill Pay Options *

EBill

PaperBill

Promotion Code (Optional)

Names of any other authorized persons to be listed on my account

How did you hear about Western Iowa Networks?

Door to Door Salesperson *

Friend *

Western Iowa Networks Yard Signs are a great way to increase interest in your area. Would you like to have a sign placed in your yard?

Yes, Please put a sign in my yard

No Thanks

To assist our construction crew, please list any fences or buried facilities (geothermal lines, sprinkler system, etc.) on your property that would not be found during a Iowa One Call locate.

Any comments or additional information that we should be aware of?

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Western Iowa Networks SignUp – Arcadia

Internet Service

TV

Voice Service

Bill Payment & Additional Options

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