Adams Fiberhood Sign-Up and Interest First Name * Last Name * Address * City * State * Zip * Your Fiberhood Do you rent or own the property? * Own Rent Property Owner Name Property Owner Contact Number Is your billing address different than your service address? Yes No Billing Street Address Billing City Billing State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Billing Zip Email Address * ( All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address. ) Contact Number * Date of Birth * Current Adams customer? * YesNo Internet Service* Please select your Service Package Package Please select your Service Package Package Select Internet Service * Managed Wi-Fi & Network Security Basic for $10/mo. – ProtectIQ Network Security, multi-layered protection on your most vulnerable devices. – 24/7 technical support. – FollowMyNetwork mobile app to control your home Wi-Fi network. – Complete network support including software updates. – Wi-Fi 6 technology providing optimal Wi-Fi coverage. – Optimized equipment placement for optimal Wi-Fi coverage. Managed Wi-Fi & Network Security Premium for $14/mo. – All of the features included in the Basic package. – ExperienceIQ Enhanced Parental Controls that manage all your family’s devices and content access to keep your family safe online. FollowMyNetwork App Take control of your home network to view connected devices on your network, set basic parental controls, set up a guest network, or adjust your SSID and password. Smart Phone is required to utilize application. Free VersionProtectIQ: Network Security – $4.00/monthExperienceIQ: Enhanced Parental Controls – $4.00/monthProtectIQ: Network Security/ExperienceIQ: Enhanced Parental Controls – $8.00/monthNot Interested Equipment Fees (required) * Required Equipment Fees ($6.50/mo.) Phone Service Local Phone Service Local Phone $15.00/mo per line No Thank You Includes Unlimited Local Calling, Voicemail & Calling Features, Plus keep your same phone number. Would you like to keep your current phone number? * Yes No Number of Phone Lines * 1 2 Who Is Your Current Phone Provider * AdamsAT&TComcastFrontierWindstreamCass Com Current Phone Number * Current Phone Number Line 2 Long Distance Options * 150 minutes for $5.95/mo. 300 minutes for $9.95/mo. 700 minutes for $19.95/mo. No thanks, I don’t need any long distance Would you like voicemail included with your phone line? Please note that voicemail is not needed if you currently use an answering machine. * Yes, I would like voicemail included No thanks, I will keep my answering machine Would you like your number to be listed in our online directory? * Yes, I would like my number listed in the Quincy Area Wide DirectoryNo, I would like to be Non-listedNo, I would like to be Non-Published ($1/mo) Your name, address, and phone number are not published in the Quincy Area Wide Directory, but your telephone number is available from Directory Assistance. Your name, address, and telephone number are not published in the Quincy Area Wide Directory and is not available from Directory Assistance.” How would you like your name listed? * UPS Battery – Note: Phone service will NOT work in case of power outage without a UPS battery backup installed. This is not mandatory, but without it, access to E911 will not work when power is out. * 8 hour UPS for $2.50/mo 24 hour UPS for $15.00/mo Not at this time Arlo Security Select your Arlo Security Package Do you need additional Cameras? NoYes Additional cameras are $10 each per month. Add additional Cameras 012345678910 Add additional Cameras Bill Pay Options & Additional Information Bill Pay Options * Email Bill (Auto-Pay / Mail in Payment) Paperbill (addl $2/mo charge) and Mail in Payment Account PIN * No more than 10 characters. Would you like to add an authorized person(s) to my account? * Yes, I would like to add an authorized person(s) to my account. No, Thank You Authorized Person #1 * Authorized Person #2 How did you hear about Adams Fiber? * Google/Search Engine Social Media (Facebook, LinkedIn, Twitter, etc.) News (Website, TV, Radio) In-Person Event Friend Adams Employee Please let us know which Sales Rep you talked to, Thanks. Nick HoffmanBrad DooleyBrenda SpragueMike RidderRyan BuehlerJeremy HeatonJess Van Beck Adams Fiber Yard Signs are a great way to increase interest in your area. Would you like to have a sign placed in your yard? * Yes, Please put a sign in my yard No, Thanks Please write in anything that our construction crews need to be aware of in your yard. (Dog Fence, Sprinkler System, etc) Questions or Comments Preferred contact method * Email Phone Terms and Conditions * I agree to Terms and Conditions If you are human, leave this field blank.