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SignUp For Missouricom Fiber Today!
SignUp For Missouricom Fiber Today!
Checkpoint Solutions
2020-01-28T00:40:48+00:00
(Generic) Fiber SignUp
It's time to build your Fiberhood! Sign up today to receive your ultimate Internet upgrade!
Customer Information
First Name
*
Last Name
*
Date of Birth
*
Spouse's Name (Optional)
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 Information
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
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Billing Zip
*
Your Fiberhood
Are you 18 or older?
Yes, I am 18 or older
No, I am not 18
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
Internet Service
Please select your Service Package
*
Package
Speed
Standard Pricing
Standard Installation
Gig
1000 Mbps
$99.00
FREE
Pro
500 Mbps
$79.00
FREE
Premium
250 Mbps
$59.00
FREE
*
Managed Wi-Fi & Equipment Rental - $10.95/month
Choose your Internet Service Plan
*
Voip
Because Voip 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 crystal clear Digital Voice for $19.95 + taxes.
No thanks, I'll keep struggling with poor cellular service.
Number of phone lines that need service
*
1 Phone Line
2 Phone Lines
Would you like to keep your current home phone number?
*
Yes
No
Who is your current Phone Provider?
*
Current Phone Number
*
Current Phone Number Line 2
*
Bill Payment & Additional Options
Bill Pay Options
*
EBill, receive your statements via email
PaperBill, for an additional $1/month
Name of any other Authorized User #1
Name of any other Authorized User #2
Name of any other Authorized User #3
Name of any other Authorized User #4
Please pick and complete 1 of the 4 Account Validation Questions
*
What is your childhood pet's name?
What is the name of your high school mascot?
What was your first vehicle?
My favorite sports team is in what city?
Answer to Validation Question
*
Would you be ok with a Missouricom Sign placed in your yard?
Yes, please let me help get the word out!
No thank you.
How did you hear about Missouricom Fiber?
*
Email
Community Event
Direct Mail
Facebook
Missouricom Employee
Missouricom Service Truck
Referred by a friend/neighbor
Web Advertisement
Web Search
Billboard
Fiber Champion
Other
Fiber Champion
*
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 locate.
Any comments or additional information that we should be aware of?
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