Which service(s) are you interested in? Swift-Stream Wireless InternetSwift-Stream Fiber InternetSwift-Stream Phone ServicesSwift-Stream TVNCI Wireless Router with Internet ControlsNCI Mini with Internet Controls
Is this for Residential or Business Service? —Please choose an option—ResidentialBusiness
First Name
Last Name
Business Name
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Is your billing address the same as your physical address? —Please choose an option—YesNo
Billing Address
Phone Number
Email
House Color
Roof Color
Do you own or rent this property? —Please choose an option—OwnRent
Do you have a router? —Please choose an option—YesNoI'm not sure
Router Type - ATTENTION: DSL Modem Routers will NOT work with our services. —Please choose an option—Linksys/CiscoNetgearBelkinD-LinkAsusTPLinkOtherNone
Would you like to buy an NCI Wireless Router? —Please choose an option—YesNoMaybe
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How did you hear about us? —Please choose an option—Customer ReferralRadio AdNewspaper AdFacebookMailerOnline SearchOther
Special Request/Additional Information
