AFH4-FM/GG/BW Address Redirect

First Name
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Last Name
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Address
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City
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State
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Zip
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Email
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Home Phone

Cell Phone
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Who is your current Internet provider?
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Adams

AT&T

Comcast

Other

Who is your current home telephone provider?
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Who is your current TV provider?
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Ready to Sign up? or just getting info at this time?
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I’m ready to Pre-Register & pay $50 to “Lock in my Price for Life”, Save $60/yr off Standard Price & Free Install

I’m interested, but need more info (please continue to fill out form and we contact you back)

Please select your Service Package

(Internet and Phone – top section) or (Internet Only – bottom section)
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Bill Pay Options
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Email Bill and Auto Pay via (Checking Acct)

Email Bill and Auto Pay via (Credit or Debit Card)

Email Bill and Mail in Payment

Paperbill (addl $2/mo charge) and Mail in Payment

Undecided

Managed Wireless Router Support & Maintenance for only $2.50/mo (Recommended)
For a description of what is included, click here
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Yes

No

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.
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Yes – I want a UPS for only $2.50/mo (Adams will monitor battery and replace when needed)

No – I elect NOT to use a UPS and I understand the risk

I would like more LD Minutes with my phone service
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No Thanks – 150 minutes is plenty

300 minutes for $4.00/mo more

700 minutes for $14.00/mo more

How did you hear about Adams Fiber?
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Preferred contact method
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Email

Phone

Would you like to help spread the word for Adams in your neighborhood?
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Yard Sign

Pass out Flyers

I have other ideas (please share in Questions or Comments below)

No thanks

Questions or Comments

Pay Pre-Registration sign-up fee
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Via Paypal

By Contacting Adams at 217-214-3423

Terms and Conditions
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I agree to Terms and Conditions

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