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First name
*
Last name
*
Account Number
Phone number
*
Street address
*
Email
*
Home Sq. Ft.
*
How large is your home?
0 - 2,000 sq. ft.
2,001 - 3,999 sq. ft.
4,000 - 5,999 sq. ft.
6,000+ sq. ft.
Connected Devices
*
How many devices connect to your wireless network?
1 - 30
31 - 59
60+
Self Installation
*
Self Installation ($0.00 Charge / Office Pick-up)
Technician Installation ($25.00 One-time charge)
Reward Choice
*
Please Select
$50 Amazon Gift Card
$50 MyBundle Streaming Credit Card
One Free Month of Internet Service
GLN Terms of Service & Policies
*
By selecting "I agree" you are consenting to:
1)
Greenlight Networks Terms of Service Terms & Policies
, and
2) Paying the rate associated with Greenlight Networks Total Managed Wi-Fi equipment and service (including any prorated charges you may incur by being installed mid-billing cycle)
I agree
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