Fiber Survey – Highline Kansas

Fiber SurveyLea Burns2019-08-21T19:29:13+00:00

Name *

First

Last

Email *

Phone

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Which Internet Speeds Are You Interested In? *

25Mbps
55Mbps
100Mbps
200Mbps

Are You Willing to Contribute to the Install/Construction Fee? If Yes, How Much Are You Able to Contribute? * *

$0
$500

Other

*Please enter a dollar amount you would be able to contribute for the install/construction fee.

Yes, I want fiber internet in my neighborhood!

Phone

79615