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Access Fiber Internet - Residential Order Form

  1. Access Fiber Internet - Residential Month to Month Order Form

  2. Installation Fee*

  3. Are You the Property Owner*

    *Note: If you are not the property owner, we may not install fiber Internet until we receive authorization from the property owner, which we will request on your behalf.

  4. Right of Entry

    *Note: If you are not the property owner, we may not install fiber Internet until we receive authorization from the property owner, which we will request on your behalf.

  5. Contact info for property owner or property manager if customer rents/leases property

  6. Contact info for property owner or property manager if customer rents/leases property

  7. Contact info for property owner or property manager if customer rents/leases property

  8. Accept Master Service Agreement and Accecptable Use Policy*

  9. Month to Month Contract Term*

  10. Note: The City of Anacortes reserves the right to make changes to the Access Anacortes Fiber Internet policies and agreements and will make the most current iteration available on the Policies & Agreements subpage of the City of Anacortes fiber department website.

  11. Leave This Blank:

  12. This field is not part of the form submission.