Santa Rosa CLEC DSL Sign Up

First Name *

Last Name *

Date of Birth *

Street Address

City

State

Zip

Your Fiberhood

Do you rent or own the property? *

Rent

Own

Property Owner Name *

Property Owner Contact Number *

Is your billing address different than your service address? *

Yes

No

Billing Address

Billing City

Billing State

Billing Zip

Email ( All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address. ) *

If you do not have an email, please use [email protected]

Contact Number

Preferred Contact Method *

Phone

Email

Are you an existing Santa Rosa customer? *

Yes

No

Internet Service

Available Internet Packages

Package	Speed	Price
DSL Titanium*	50 Mbps	$119.95
DSL Platinum*	25 Mbps	$89.95
DSL Gold*	12 Mbps	$69.95
DSL Silver*	6 Mbps	$50.95
DSL Bronze*	3 Mbps	$36.95

*where available

Router Options *

Basic WiFi (no additional charge)

I want to use my own router (no additional charge)

Are you interested in Tech Home? Additional information can be found here

Tech Home Protect (1 computer) for $4.95/month

Tech Home Plus (4 computers) for $10.95/month

Tech Home Support (4 computers + 24/7 tech support) for $15.95/month

No, thank you

Tech Home is a complete home technology solution that makes it easy to setup, use, protect, and enjoy your networked devices…anytime, anywhere.

Phone Service (Required in your service area)

I would like Phone Service for $19.05/month

Yes

Do you wish to keep your current phone number(s)? *

Yes, I would like to port my number(s) over

No, I would like to receive new phone numbers

Who is your Current Phone Provider? *

Number of Phone Lines *

1

2

Current Phone Number *

Current Phone Number #2 *

Long Distance Plans *

Most Popular Calling Features

Caller ID $5.85/mo

Three Way Calling $2.40/mo

Call Forwarding $1.60/mo

Call Waiting $1.60/mo

Would you like voicemail included within your phone line? Please note that voicemail is not needed if you currently use an answering machine. *

Which voicemail package would you like? *

Bill Pay Options & Additional Information

Bill Pay Options *

Email Bill (Auto-Pay/Mail in Payment)

Paperbill and mail in Payment (An additional $2 fee will be charger per month)

Please write in anything that our construction crews need to be aware of in your yard. (Dog Fence, Sprinkler System, etc)

Questions/Comments

PROMO CODE

*Some restrictions apply. Limited supplies. Must be installed before 4/1/2022.

Terms and Conditions *

I agree to the Terms and Conditions

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Santa Rosa CLEC SignUp DSL

Internet Service

Phone Service (Required in your service area)

Bill Pay Options & Additional Information

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