Skip to main content
Close Search
Menu
HOME
ACP BENEFITS
SERVICES
STREAMING TV
TV EVERYWHERE
TV ON MY SIDE
FIBER BROADBAND
PLUME WIFI
CABLE BROADBAND
BUDGET BROADBAND
PREPAID BROADBAND
BROADBAND SPEED TEST
DATA USAGE CHECKER
DIGITAL PHONE
MIKROTEC LONG DISTANCE
BUSINESS SERVICES
EQUIPMENT EXCHANGE
SUPPORT
ONLINE BILL PAY
HD LINEUPS
SECURITY
PRICING
BUSINESS PRICING
DIGITAL PHONE PRICING
CONTACT
ORDER
twitter
facebook
youtube
APPLY FOR BUDGET BROADBAND
PLEASE PROVIDE COMPANY STATUS:
*
NEW INTER MOUNTAIN SUBSCRIBER
CURRENT INTER MOUNTAIN CABLE SUBSCRIBER
APPLICANTS NAME
*
First
Last
SPOUSE(S) NAME
*
First
Last
PLACE OF EMPLOYEMNT
Please provide Company Name
EMPLOYER PHONE NUMBER
EMAIL ADDRESS
*
Enter Email
Confirm Email
Valid Email Address Required
DRIVERS LICENSE NUMBER
*
Please provide Identification (Drivers License)
(SPOUSE) DRIVERS LICENSE NUMBER
Please provide Identification (Drivers License)
PHONE NUMBER (HOME OR CELL)
*
Need phone number that we can easily contact you for additional information (if needed)
BILLING ADDRESS
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
SERVICE ADDRESS
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
RESIDENCE
*
Own
Rent
Lease
Other
DIRECTIONS TO HOME
*
Please provide detailed directions to home so tha your installer can easily find you for installation.
PLEASE PROVIDE ASSISTANCE FAMILY IS CURRENTLY RECEIVING
*
Medicaid
SSI
SNAPP
Federal Housing Assistance
Veteran Pension Benefits
Please provide information so that we can see if you qualify for FLEX Budget Broadband
CAPTCHA
Δ
Close Menu
HOME
ACP BENEFITS
SERVICES
STREAMING TV
TV EVERYWHERE
TV ON MY SIDE
FIBER BROADBAND
PLUME WIFI
CABLE BROADBAND
BUDGET BROADBAND
PREPAID BROADBAND
BROADBAND SPEED TEST
DATA USAGE CHECKER
DIGITAL PHONE
MIKROTEC LONG DISTANCE
BUSINESS SERVICES
EQUIPMENT EXCHANGE
SUPPORT
ONLINE BILL PAY
HD LINEUPS
SECURITY
PRICING
BUSINESS PRICING
DIGITAL PHONE PRICING
CONTACT
ORDER
twitter
facebook
youtube