Elsie New Services Order Form

I understand I will receive a confirmation e-mail within 24 hours, or the next business day, verifying my request has been received. All prices are per month rates. Prices do not include taxes/surcharges. Services are subject to availability.

*All new customers are subject to credit check and applicable fees prior to installation.

If you have any questions about services or features, please contact us at 866.542.6780


Residential Bundles
Please choose your bundle

Internet/Phone Bundle 20 Meg =$134.95 /mo.Internet/Phone Bundle 10 Meg =$124.95 /mo.Internet/Phone Bundle 5 Meg =$113.95 /mo.


Telephone Service:
Type of Telephone Service

Residential Service* = $19.25/mo.Business Service* = $29.95/mo.

Listed Phone Number

Listed = FREENon-Listed = FREENon-Published = FREE

Calling Features

Voice Mail = $4.95/mo.Caller ID = $6.00/mo.Call Waiting = $3.00/mo.

Other calling features not listed above:

Elsie Communications Long Distance:
S&A Long Distance

YesNo

Please choose your long distance calling plan

60 minutes - $6.95/mo.200 minutes - $21.95/mo.500 minutes - $44.95/mo.

Inside Wire Maintenance

Yes = $3.00/mo.No


High Speed Internet:

High Speed Internet requires installation/activation fees. Our staff will provide additional details.
*Prices shown are with active telephone service.
*Download and upload speeds may vary.

Pick Your High Speed Internet Plan

5 Meg = $89.95/mo.10 Meg = $109.95/mo.20 Meg = $119.95/mo.


Contact Information:

Full Name (required)*

Current Phone Number/Contact (required)*

Physical Address - where you would like service (required)*

Billing Address - where you would like billing sent (required)*

City (required)*

State (required)*

Zip Code (required)*

Your Email (required)*

Verify Email (required)*

Promo Code (required)*