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ORDER NEW WIRELESS BROADBAND SERVICE

Please enter your information below to sign up for a Wireless Broadband Account. Once your information has been submitted, a Representative will contact you shortly. Wireless service is currently available for select areas of the Big Island. Service for other Islands is coming soon.
( * indicates that the field must be filled out.)


First Name:*
Last Name:*
Company:
Billing Address:*
City:*
State:*
Zip Code:*
Daytime Phone:*
Evening Phone:*
Fax Number:
Email Address:
Billing Method: * Credit Card    Invoice

Please enter the street address for your wireless site. *

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