Interested in Fiber? Interested in Kalona Fiber? Sign up here to help bring Fiber to the Home services to your neighborhood! First Name * Last Name * Email Address (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.) * Primary Phone Number * Secondary Phone Number Do you wish to add an Authorized Contact? * Yes No Authorized Contact Name * Authorized Contact Phone Authorized Contact Email Service Address * City * State * Zip * Is you Mailing Address the same as your Service Address? * Yes, they are the same No, they are different Mailing Street Address * Mailing City * Mailing 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 Mailing Zip * Who is your current Internet Provider? * Mediacom Windstream Cloudburst 9 Wireless/Satellite Provider OtherOther Who is your current Phone Provider? * Mediacom Windstream OtherOther Who is your current TV Provider? * DISH OtherOther KCTC Service Are you interested in? Phone Internet TV Security Cameras Phone Systems IT Support Services Additional Information Are you currently in a contract? * Yes No Date Contract Ends * Would you like a yard sign in your yard? * Yes No How did you hear about us? * Website Web Ad Email Direct Mail (letter/postcard) Yard Sign Vehicle Decal Radio Ad Radio Talk Show TV Ad TV News Story Newspaper Ad Newspaper Article A Friend Door to Door Salesperson Facebook Event Other Friend's name * Door to Door Salesperson * Yes, I would like KCTC Fiber to come to my neighborhood faster and you can contact me to get my neighbors to also commit to KCTC services? Questions? Comments? Submit
