Nex-Tech Fiber Interest Show your interest to help bring Fiber to the Home services to your neighborhood! First Name * Last Name * Email Address (All correspondence, including your service agreement, installation scheduler, and billing information will be sent to this email address.) * Service Address * City * State * Zip * Your Zone Is your Mailing Address different than your Service Address? Yes, they are different. No, they are the same. Mailing Street Address * Mailing City * Mailing State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Mailing Zip * Primary Phone Number * Secondary Phone Number Who is your current Internet Provider? * Nex-Tech Cox AT&T HughesNet None Who is your current Home Phone Provider? * Nex-Tech Cox AT&T I currently don't have home phone service Who is your current TV Provider? * Cox DirecTV Dish Network None How did you hear about us? * Website Web Ad Email Fiber Champion Direct Mail (letter/postcard) Yard Sign Vehicle Decal Radio Ad Radio Talk Show TV Ad TV News Story Newspaper Ad Newspaper Article A Friend Door to Door Salesperson Facebook Event Other Other Description * Fiber Champion * Preferred Household Language? * English Spanish Questions? Comments? reCAPTCHA Submit
