County Services Are you interested in service for your home or for your business? * Business Home Both First Name * Last Name * Your County * Duplin Edgecombe Halifax Martin Nash Wilson Harnett Pitt Address * Address Please enter the address for where you would like service. Please enter the address for where you would like service. Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Phone Number * Email Address * Do you rent or do you own your property * I Own this property I Rent this property OtherOther Do you rent or own your home/business? It is possible that additional information and approvals may be required from your landlord, if you are renting. Who is your current internet service provider * If you have broadband internet, is it: * Reliable Affordable Fast enough for your needs None of the above Please select all that apply. What internet speed are you currently paying for * No Service Available Less than 5 mbps 6 mbps - 10 mbps 11 mbps - 24 mbps 25 mbps - 100 mbps Greater than 100 mbps When running an internet speed test on your property, what internet download speed do you actually experience * No Service Available Less than 5 mbps 6 mbps - 10 mbps 11 mbps - 24 mbps 25 mbps - 100 mbps Greater than 100 mbps You can run a speed test here: Speed Test What is your approximate monthly budget for internet service * Less than $30 $30 - $50 $50 - $75 $75 - $100 Greater than $100 We use this information to determine the right service level for your area. Comments Please let us know any specific details about your internet service needs. And please note that by submitting this form, you are granting permission for a CloudWyze representative to reach out to you via phone or email to schedule an installation. Submit
