Washington Broadband, Inc.

Wireless Internet Signup
Yakima Valley

Qualification/Service Request from Washington Broadband

Please fill out this form to request information for service and a FREE site survey.

Step 1: Contact Information

First Name:
Last Name:
Business Name:
Phone Number:
Alternate Phone Number:

Street Address: « Service Location
City:
State: WA
Zip Code:


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Customer Agreement

By submitting this form to Washington Broadband, Inc., I agree that all information I have provided is accurate. Also, if my location does qualify and I choose to sign up for service, I agree to read and adhere to the terms & conditions of Washington Broadband, Inc. for delivery and usage of Internet access to my facility.