Address Submission Form Address Submission Address Information Service Address * City * State * IDUT Zip * Thank you for your interest in ATC Communications! Great news! Even though our records show that Internet is not currently available at your address, we may bring you Internet in the near future! Please complete the form below and we will let you know as soon as it is available! And don't worry, you're not committing to service or any terms of agreement. Your information will only be used by ATC Communications and will not be sold or distributed. Thank you for your interest in ATC Communications! Please complete the form below and we will contact you after reviewing your submission! Your information will only be used by ATC Communications and will not be sold or distributed. Customer Information First Name * Last Name * Email * Confirm Email * Confirm Email Primary Phone * Primary Phone Type * Cellular Landline Secondary Phone Secondary Phone Type Cellular Landline Mailing Address Is your Mailing Address different than your Service Address? * Yes No Mailing Street Adress * Mailing City * Mailing State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Mailing Zip * Home Ownership Information Do you own or rent the location you would like a fiber connection? * Own Rent Landlord Name * Landlord Email Landlord Phone * Current TV Provider * Who is your current internet provider? * CenturyLink Safelink Rise Broadband Last Mile Wireless None OtherOther If fiberoptic internet from ATC were available in your area which price and plan would you be most interested in? 25 MBPS - $60/month 75 MBPS - $70/month 150 MBPS - $80/month 250 MBPS - $100/month 500 MBPS - $150/month 1 GIG (1,000 MBPS) - $200/month Questions? Comments? If you are human, leave this field blank. Submit
