New Residential Service Request Form
Request service by filling out this form, once we receive it we will contact you regarding High Speed Internet Options for your Home.
This is the email address we will use to contact you
Location where you want service.
Billing Address including City, ST, and Zip: (If different than above)
Choose the Speed that you are interested in below:
*Some services are not available in all areas. Speeds are burstable, actual speeds may vary and are not guaranteed. Services are subject to ReliaNET's terms and conditions.
2Mbps (1.5M down/512K up) = only $24.95
3Mbps (2M down/1M up) = only $34.95
5Mbps (3M down/2M up) = from $44.95
8Mbps (6M down/2M up) = from $54.95
Choose your Installation:
You can choose which installation option is the best value for you.
No contract = $129
1 Year contract = $99
You must either purchase or rent the equipment. If you choose the purchase option, your installation is FREE and there is no contract required.
Purchase = $299
Rent = $5 per month
A router is recommended for security (required for multiple computers)
Please choose from the following options
Purchase a wireless 4-port router for only $49.95
I already have a router or I will provide my own router.
A UPS (Uninterruptible Power Supply) is recommended for the protection of your equipment:
A UPS is highly recommended to protect the equipment and to give you more reliable service even in the event of a power outage. Also important if you use or plan on using VoIP phone service.
Purchase a UPS for only $69
No thanks, I either have one or will not be using one.
What type of roof do you have?
If no one is available: Do we have permission to access your property (such as back/side yard and roof)?
In many cases, we can survey your house for service even if you are not home.
Who is your current ISP?
Are you interested in VoIP Phone service?
I already have it
How did you hear about us?
ReliaNET customer, enter customer name or number on next line
Friend or salesperson who helped or referred you.
If a customer referred you, please let us know who below. We reward our customers for referrals, you can earn them too.
Please include any additional information here including directions to your house, what type of roof you have, how accessible it is, whether or not there are any dogs in the back yard, etc.
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Terms of Service