subject_line
RCI Communications GigaFiber Fiber Service Registration
First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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Address Description
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House - Owner
House - Rented
Apartment
Mobile Home Community - Single
Mobile Home Community - Full Community
Single Business
Multi Tenant Business
How did you hear about RCI Communications?
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Mailer or Flyer
Yellowpages
Newspaper
Word of Mouth
Facebook
Twitter
Internet Search
Which of the following Internet Service Providers do you use in your home or Business?
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AT&T UVerse
Comcast
HughesNet
Exede
Verizon
AT&T Wireless
Sprint
T-Mobile
ACD.NET
I don't have internet
Other
Other
If service was brought to your area, how likely would you be to sign up for the service?
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Very Likely
Likely
Maybe
Unlikely
Very Unlikely
How important is speed to you, when choosing this type of service?
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Extremely Important
Very Important
Moderately Important
Slightly Important
Not Important At All
How important is price to you, when choosing this type of service?
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Extremely Important
Very Important
Moderately Important
Slightly Important
Not Important At All
Would you prefer us to reach you by email or phone?
*
Email
Phone
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