Mid Century Fiber Sign-up and Interest First Name * Last Name * Address * Your Fiberhood City * State * Zip * Preferred contact method * Email Phone Email * All correspondence including your service agreement, installation scheduler, and billing information will be sent here. Landline Phone Cell Phone * Do you rent the property? * Yes No Landlord Name * Landlord Contact Number * Is your billing address different than your service address? * Yes No Billing Street Address * Billing City * Billing State * Billing Zip * Are You a Current Mid Century customer? * YesNo Please Select your Service Plan Ultimate Gig 1,000/1,000 Mbps - $74.95/mo. Locked in for Life! Extreme 400/400 Mbps - $65.00/mo. Standard 50/50 Mbps - $50.00/mo. * Installation is free, but there may be a service drop charge. Additional charges may also apply for Mid Century supplied equipment, extra footage, and labor. All equipment provided remains the property of Mid Century. Managed Wi-Fi * Ultimate SmartNet Wi-Fi -- $14.95/mo. Advanced SmartNet Wi-Fi -- $10.95/mo. Ultimate SmartNet Wi-Fi 24/7 remote tech support and worry-free network management. Free mobile app to manage your home network or experience. Optimized Wi-Fi 6 technology for superior edge-to-edge coverage. ProtectIQ network security, offering multi-layer protection for all devices, including smart TVs, thermostats, and cameras. ExperienceIQ that provides prioritization of your devices and network. Advanced Parental Controls. Advanced SmartNet Wi-Fi 24/7 remote tech support and worry-free network management. Free mobile app to manage your home network or experience. Optimized Wi-Fi 6 technology for superior edge-to-edge coverage. ProtectIQ network security, offering multi-layer protection for all devices, including smart TVs, thermostats, and cameras. Outdoor Monitoring (not available in multi-unit dwelling) Requires minimum 400 Mbps and Ultimate SmartNet Wi-Fi Video Doorbell w/ chime, 2 outdoor cameras with dedicated camera network -- $40.00/ mo.* No, Thank You Would you like an additional Outdoor Camera for $10.00/ mo*? Yes No *only available with camera package Would you like an additional Video Doorbell w chime for $10.00/ mo*? Yes No *only available with camera package Porch Monitoring (not available in multi-unit dwelling) Requires minimum 400 Mbps and Ultimate SmartNet Wi-Fi Video Doorbell w/chime - $10.00/mo. No, thank you Local Phone Service * Local Phone $23.00/mo per line No Thank You Includes Unlimited Local Calling, Unlimited Long Distance to US 50, Canada, Puerto Rico, and US Virgin Islands (certain taxes apply), Voicemail & Calling Features, Plus keep your same phone number. Publish or Non-published Phone Number Publish My Phone Number Do Not Publish My Phone Number $1.00/mo. Number of Phone Lines * 1 2 Would you like to keep your current phone number? * Yes No Current Phone Number * Current Phone Number Line 2 Who Is Your Current Phone Provider * AT&TComcastFrontierAT&T MobilityUS CellularMediacomCenturyLink 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 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. * Yes - I want a UPS for only $2.50/mo. (Mid Century will monitor battery and replace when needed) No - I elect NOT to use a UPS and I understand the risk How would you like to receive your bill monthly? * Email Bill Paper Bill via USPS (additional $2/mo.) How did you hear about Mid Century Fiber? * Website Direct Mail letter/postcard Yard Sign Radio Ad TV Ad Newspaper Ad A Friend Door to Door Salesperson Event Newspaper Article TV News Story X (formally known as Twitter) Facebook Radio Talk Show Ad on side of Vehicle Email Billboard LinkedIn Please let us know which Sales Rep you talked to, Thanks. Nick HoffmanRosie KlingBrenda SpragueMike RidderRyan BuehlerHayden DouglasJeremy HeatonJess Van Beck Please write in anything that our construction crews need to be aware of in your yard. (Dog Fence, Sprinkler System, etc) Questions or Comments If you are human, leave this field blank.
309 - 778 - 3278
