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Deposit Information
:
Deposit Information
:
1.877.FIBER2U
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Business:
Request Fiber Internet Service
Would you like to request fiber internet service to your business?
If so, please fill out the form below.
We will consider a submitted form as intent to start the installation process.
Please Choose Your Preferred Contact Method(s):
Phone Call
Text Message
E-Mail
Tombigbee Electric Account Number
:
(Ex: 2xxxxx-1xxxxx). Location is the number that starts with "2," Customer is the number that starts with "1."
(Ex: 2xxxxx-1xxxxx)
Fiber Internet Options (Check Only One)
BASIC (100 Mbps Up/Down) - $84.90
ULTRA (1 Gbps Up/Down) - $304.90
Would You Like To Add Phone? (Check Only One)
Yes
No
Not Sure
If You Want to Add Phone, Please Answer the Next Four Questions:
If You Would Like to Add Phone, Which Option Would You Like? (Check Only One)
Keep My Existing Number
Give Me A New Number
Not Sure
If You Would Like to Keep Your Existing Business Land Line Phone Number, What is the Phone Number?
How Many Phone Lines Would You Like? (Check All That Apply)
First Phone Line - $49.95
Additional Phone Line(s) - $35.00 Each
Not Sure
If You Need Additional Phone Lines, How Many Would You Like?
Please Choose/List Any Instance That May Prevent a Fiber Drop or Install From Being Completed (Check All That Apply)
None
Dogs (Pets)
Locked Gate (Near Meter Base)
Hard to Locate
Other (Please Explain Below)
Comments/Questions:
I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME E-MAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL.
Want to Sign Up For Auto-Pay?
(Choose One)
Already signed up for
Bank Draft for Tombigbee Electric
and want to use the same account?
I AGREE TO SIGN UP FOR BANK DRAFT USING THE SAME BANK INFORMATION I CURRENTLY USE FOR TOMBIGBEE ELECTRIC POWER ASSOCIATION
Want to Sign Up For
Bank Draft
?
Please upload a voided check
or a deposit slip below:
(Must be an image file - Ex: jpg, png)
Upload File
Upload supported file (Max 15MB)
If providing an image is unavailable, please provide the following information:
Please agree if you want to be signed up for bank draft:
I AGREE THAT I HAVE THE AUTHORITY TO AUTHORIZE TRANSACTIONS FOR THE LISTED BANK ACCOUNT.
Want to Enable Auto-Pay with a
Credit/Debit Card or Bank Account
?
After this form is submitted, we will create your account. After your account is created, we will contact you back to allow you to create a login and setup auto-pay via our
Customer Portal
.
I WOULD LIKE TO SIGN UP FOR AUTO-PAY THROUGH THE CUSTOMER PORTAL, THUS BE CONTACTED IN THE FUTURE ONCE MY TOMBIGBEE FIBER ACCOUNT HAS BEEN CREATED.
Customer Portal
I AGREE TO NOTIFY TOMBIGBEE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19.
I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER TO HAVE SERVICE INSTALLED.
I AGREE TO THE
SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS
Submit