Sign Up Online Sign up for residential services with this form. Step 1 of 4 – Tell us about you. 25% Name(Required) First Last Date of Birth Month Day Year Address of Install(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone(Required)xxx-xxx-xxxxEmail(Required) Please choose all services you are interested in FiberFast Internet CentraView TV Phone Security Cameras FiberFast InternetChoose your plan:100 Mbps250 Mbps500 Mbps1000 MbpsChoose a router option: CentraWiFi Blast (included with service) CentraWiFi MegaBlast I will provide my own router Will you need any Extenders?Choose from below optionsYesNoNot SureCentraWiFi Blast Mesh Extenders help to eliminate WiFi dead zones in hard to reach places.How many Extenders?Please enter a number from 1 to 4.CentraView TVChoose your plan:BasicBroadcast BasicExpanded BasicDigital AdvantageAdd Premium Channels Starz HBO Cinemax Showtime Select AllCloud DVR100 hours included. 150 – $3.00 per month 200 – $6.00 per month 250 – $9.00 per month 300 – $12.00 per month Number of TVsPlease enter a number from 1 to 10.Simultaneous StreamsUp to 2 streams included. 3 – $1.95 per month 4 – $3.90 per month 5 – $5.85 per month 6 – $7.80 per month PhoneChoose your plan:Basic PhoneNo PhoneLong DistanceBasicUnlimitedToll Denial – No Long DistanceAdd Popular Features Anonymous Call Rejection Call Forwarding Call Waiting Caller ID Non-Published Three-Way Calling Other Security CamerasHow many cameras?Please enter a number from 1 to 10.Where will these cameras be installed?IndoorsOutdoorsBothDo you want to record video from these cameras?YesNo FiberFast InternetTerms & Conditions(Required) I agree to these terms and conditions.CentraCom believes in an open internet. We do not prioritize or block traffic. We want our customers to have a great experience accessing the content and applications that are meaningful to them. *Prices do not include taxes, surcharges, and other fees and are subject to change. Subject to credit approval. Install and activation fees may apply. Contract required. Early termination fee: $200. Free phone/No phone offers do not apply to legacy plans. Fiber-to-the-Home Internet not available in all areas. If Fiber is not available, DSL or Fixed Wireless options may be available. All speeds are best effort and may vary depending upon location, customer equipment, website status, internet congestion, etc. Subject to additional restrictions and subscriber agreement. View Broadband Management Practices. 1 High data usage will negatively affect the bandwidth speed to devices in the home. CentraCom reserves the right to monitor data usage and to take corrective actions if excessive data usage adversely affects the network. RENTERS: I understand that approval must be obtained by my landlord to have services installed, which may include drilling holes to run wires.CentraView TVTerms & Conditions(Required) I agree to these terms and conditions.1 year contract required. Prices are subject to change and do not include local, state, or federal taxes and fees. Channel lineups are subject to change without notice.PhoneTerms & Conditions(Required) I agree to these terms and conditions.*Price does not include Federal Universal Service Charge, Access Recovery Charge (varies by city), or Ephraim Municipal Telecom Tax. $100 Deposit required, refundable after 1 year of on-time payments or can be waived with 1 year continuous enrollment in Autopay and E-Billing. $30 Connection Fee. $30 Drop Fee or may require estimate. Last updated 12-17-2021 – Call for latest pricing and tax information. *Unlimited Plan is for residential use only and is not available for business or home-based business services. Manti Telephone reserves the right to verify the Unlimited Plan is not being used for business purposes. $10.00 Voice Mail Activation Fee applies. Security CamerasTerms & Conditions(Required) I agree to these terms and conditions.Once installed, cameras and equipment become the property and responsibility of the customer. Desired Date of Install MM slash DD slash YYYY A Customer Service Professional will confirm availability.How did you hear about us? Referred by someone Digital Billboard Radio Newspaper Social Media Website Theater Ad Other I was referred by:Other:Additional Info
