Sign Up Form - Pine Belt Communications

Excellent! Your address appears to be in an area where we have secured funds and are committed to expand the Pine Belt QuickSpeed® Fiber Network. We are in the process of finalizing detailed construction plans and preparing the permitting applications. Once this is done we will be soliciting bids to construct. Please complete the sign-up form below so we can factor your interest in the bid process. We will be back in touch within 5 business days to provide further information and advise you of the anticipated construction schedule.

Yay! Expansion of the Pine Belt QuickSpeed® Fiber network to your area is already in progress. Please complete the form below so, if necessary, we can get you qualified for service and place a service drop to your location as soon as possible. We will be back in touch with you within 3 business days.

How exciting! Mainline construction of the expanded Pine Belt QuickSpeed® Fiber network in your area is complete. We are now actively converting services to the new facilities. Please complete the form below and someone will be in touch with you in the next 2 business days to complete any necessary service qualification steps and schedule conversion of your service to fiber or, if necessary, installation of a new fiber service drop and turn-up of your Pine Belt QuickSpeed® Fiber service.

Congratulations! Your address is in one of our existing fiberhoods. Please complete the form below and we will be in touch within 1 business day to complete the service application process and to schedule installation of a new fiber service drop if needed and activation of your Pine Belt QuickSpeed® Fiber service.

Title

First Name *

Last Name *

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.) *

Date of Birth *

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 *

Your Fiberhood

Are you currently an existing customer?

Yes I'm a current Customer

No, I am not a current customer

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

Rent

Own

Landlord Name *

Landlord Email *

Landlord Phone Number *

Voice

Because Pine Belt Voice is delivered via state-of-the-art Fiber network, our subscribers enjoy industry leading voice equality and unparalleled service stability. Hearing is believing! *

Yes, I would like phone service!

No thanks

Number of phone lines that need service *

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

Yes

Who is your current Phone Provider? *

Current Phone Number *

Current Phone Number Line 2

Additional Options

How did you hear about Pine Belt Fiber? *

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

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 in an Alabama 811 locate request.

If you are human, leave this field blank.

Internet

Voice

Additional Options

Contact Information

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