Internet – Service Inquiry

Please fill out the following form to inquire about internet service or call us at 800-232-7839.
(Broadband inernet service requires an Eastex telephone line and must be qualified to determine speeds available at your location)

First and Last Name

Customer ID

Physical Address (Street)

Physical Address (City)

Physical Address (Zip)


Eastex Phone

Contact Phone

Contact Preference
 Email Eastex Phone Contact Phone

Interest Area
 Broadband Phone Service Other



Please leave this field empty.