Princeton Wireless Broadband Service
Online Application
 [Currently in testing mode]
Name  
Address  
City  
State  
Zip  
Last 4 digits SS#  
Already Have Internet Service? Yes      No
If so - with what Company
Current PEPB Customer? Yes       No
Select One     RESIDENTIAL        or  SMALL BUSINESS     or   COMMERCIAL    
If Business Account  
   Business Name
   Business Telephone

SERVICE REQUESTED
Residential Basic - up to 256k   $price/month 1st 3 months
      $price/month after 1st 3 months
Residential Premium - up to 768k $price/month 1st 3 months
      $price/month after 1st 3 months
Small Business Single - up to 768k $price/month 1st 3 months
      $price/month after 1st 3 months
Small Business Basic - up to 768k to 10 PCs $price/month 1st 3 months
      $price/month after 1st 3 months
Small Business Hotspot
   Free router Promo - $Price Installation		 $price/month 1st 3 months
      $price/month after 1st 3 months
Small Business Premium - up to 768k
   Static IP to 20 PCs		 $price/month 1st 3 months
      $price/month after 1st 3 months
Commercial Call for quote

Additional Charges
The following additional charges may apply:
Modem installation and Activation        $price
Indoor Antennae - for extra gain        $price
Outdoor Antennae - if required        $price
Outdoor grid Antennae - if required        $price
Mobile antennae        $price

I hereby acknowledge I have read and understand the PEPB Wireless Broadband Services Agreement w/ Disclaimer, as well as PEPB Rules and Regulations, and agree to abide by the terms within. I agree that my utilities may be terminated for a misrepresentation of any information if the correct information would have resulted in a denial of service.
Date of Online Application
Email Address of Applicant

Home Phone Number

Requested Password

 optional
   

You will receive an email with further information after this application has been reviewed by PEBP.