Interested in Fiber | Nexstream Connected Technologies

Subscriber Name *

First

Last

Email *

Phone number *

Address (for unknown addresses please enter lot number, GPS coordinates, or link to a map pin.) *

Address Line 1

Address Line 2

City

State

Zip Code

Neighborhood *

If other, enter neighborhood name

If you don't have answers to all of these questions don't worry, but please provide as much detail as you can to help us best serve your needs.

Which describes your home? *

Does the site have electricity? *

Is air conditioning on? (some Nexstream equipment cannot be in hot environments) *

Has Cat6 cabling been installed? *

Has conduit been installed from the home site to the handhole/fiber enclosure/street pedestal? *

Our equipment must be installed indoors, typically inside an audio/video closet. Does this type of space exist in your home? *

Please upload a photo of this equipment space

Click or drag a file to this area to upload.

Projected move-in date *

Please upload a photo of the front of your home from the road (for easier identification)

Click or drag files to this area to upload. You can upload up to 3 files.