Sign up for Fiber Optic service!Customize your fiber optic service package! Ckpt - Sign Up Form 2022 SERVICE ADDRESS SERVICE ADDRESS * UNIT/ APT NUMBER CITY * STATE * ZIP CODE (example: 61951) * DATE OF BIRTH FIBERHOOD FIRST NAME * LAST NAME * PRIMARY PHONE * SECONDARY PHONE EMAIL ADDRESS (example: jsmith@123test.com) * BILLING ADDRESS BILLING ADDRESS THE SAME? * SAME AS SERVICE ADDRESS BILLING ADDRESS * UNIT/ APT NUMBER CITY STATE AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY ZIP CODE * DO YOU RENT OR OWN THE PROPERTY? * OWN RENT IS YOUR LANDLORD A MANAGEMENT COMPANY OR AN INDIVIDUAL? MANAGEMENT COMPANY INDIVIDUAL MANAGEMENT COMPANY NAME * MANAGEMENT COMPANY PHONE NUMBER * MANAGEMENT COMPANY EMAIL ADDRESS * ARE YOU CURRENTLY AN EXISTING CONXXUS CUSTOMER? * YES NO If you are human, leave this field blank. Next
