Santa Rosa Fiber SignUp

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

Bundles (Phone+Internet)

Are you interested in a bundle for Internet and Phone services combined, or do you want to choose individual services?

I want to see bundles

I want to see individual services

SRC Plus

Package	Phone Service	Internet Speed	Price
SRC Plus 1000	Phone line + features below	1000 Mbps	$152.95
SRC Plus 500	Phone line + features below	500 Mbps	$105.95
SRC Plus 300	Phone line + features below	300 Mbps	$90.95
SRC Plus 100	Phone line + features below	100 Mbps	$77.95

Includes:
-VoiP Phone, Call Waiting, Three Way Calling, Caller ID, Call Forwarding, and a 48 State Unlimited Long Distance Plan
-High Speed Internet (select speed above)
-(Inside Wire Maintenance and Tech Home products are additional to bundles)

Internet Service

(must be bundled with phone)

Router Options *

Enhanced Managed WiFi ($10.00 a month 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 area)

I would like Phone Service for $20.00/month

Yes, I would like phone service

Unlimited Local Calling, add calling features.

Long Distance Plans *

Most Popular Calling Features

Caller ID $7.20/mo (When bundling phone & internet calling features are included at no charge)

Three Way Calling $2.00/mo (When bundling phone & internet calling features are included at no charge)

Call Waiting $2.00/mo (When bundling phone & internet calling features are included at no charge)

Call Forwarding $2.00/mo (When bundling phone & internet calling features are included at no charge)

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? *