Broadband Eligibility Request Form:

Each broadband service may require that we have specific information about your location. You will not be added to any mailing list and this information will be kept confidential. Please provide complete information so that we can determine precise eligibilty.

Contact Name:
Contact Email:
Business Name:
Street Address:
	Service Availability Note: DSL - Kennewick, Richland, West Richland, Benton City Fiber - Kennewick, Pasco, Prosser Wireless - Kennewick, Pasco, Benton City Services are not available in ALL parts of any area but we will do our best to help you.
Phone (at this location):
Interest:	Any Broadband DSL Only Fiber Only Wireless Only
Comments: