EmailMe Form - Drop your phone. Keep your internet. Save big!

Let's Verify Your Account

First up, is this for a home or business? *

Business

Home

Great, what's your name? *

First Last

What's the name of the business? *

Now, what's your email? *

We won't spam you - just going to send you an order confirmation.

What's the best phone number for your business? *

### - ### - ####

If there's multiple numbers for your business, give us the one you want us to call.

In case we can't reach that number, what's another number we can reach you at? *

### - ### - ####

What's the best phone number for you? *

### - ### - ####

Cool, is there another number we can reach you at? *

### - ### - ####

This can be your work, home, or alternate person phone number.

What is the mailing address on file? *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Let's Update Your Services

Let's start by dropping your landline phone *

Yes, drop my landline phone - save me money!

Excellent choice - only get the services you want! No more clunky landline phones.

Great, now that you've saved big, are you interested in upgrading your home internet and still paying less?

Yes, I want faster speeds - more bandwidth for streaming movies and entertaining the kids!

Great, now that you've saved big, are you interested in upgrading your business internet and still paying less?

Yes, I want faster speeds - more bandwidth equals more productivity!

Cool, and what about JadeTV? JadeTV is affordable HD TV that you can pause, rewind, and fast forward.

Yes, I want JadeTV ($35/mo)

With simple pricing and unlimited data, JadeTV offers full control over your TV experience - 11 local channels for only $24.99 a month.

Sounds good, how many rooms would you like to watch TV? *

JadeTV can be installed in many locations throughout your home. If you would like more than 5 JadeTVs, please call us at (719) 589-5140.

Create a password for your JadeTV. There's an eight character minimum. *

Yep, you get to choose the password! Pick something you'll remember so you can sign in with all your devices.

Now let's get it installed. How would you like to install JadeTV? *

You can install it yourself, no problem. Or you can let our tech experts do it for you.

Automatic Payment

Want to save 5 dollars? Sign up for automatic payment today and get $5 off your first bill!

Yes, save me 5 dollars!

Sign up while you can - promotion valid for a limited time only. Terms & conditions may apply.

How would you like to pay? *

EFT

Credit/Debit card

Name on Card *

Card Number (no dashes) *

Blanca Networks will automatically charge this card between the 1st and the 10th of every month.

Expiration Date *

MM / YYYY

CVV *

Name of Bank *

Name on Account *

Bank Routing Number *

Bank Account Number *

Blanca Networks will automatically charge this bank account number for the amount of your bill between the 1st and the 10th day of every month.

Legal Information

Terms & Conditions *

I have read and agree to the Terms & Conditions outlined below

• I agree to a credit check which is required for service.
• I acknowledge that if I do not pass the required credit check, a deposit is required for service.
• I acknowledge that - if I am on Fiber - Blanca Networks will provide the first set of backup batteries. After this, I am responsible for the upkeep of batteries for as long as I have service (about $45/battery).
• I agree to pay Blanca Networks the entirety of the installation fee prior to installation.
• I understand that Blanca Networks bills monthly and will prorate my account based on the day that I start service.
• I understand that all equipment used for service belongs to Blanca Networks. Any damage incurred by the equipment at the customer's location is the sole responsibility of the customer.
• I agree to pay all charges within 10 days of issuance and to pay all reasonable costs of any collection agency (up to 50% of the outstanding bill), attorney, court or other miscellaneous fees used to collect the past due amounts.

We know we've asked you this before, but in case you've changed your mind, would you like to receive your bill via email? *

Yes, email - save the paper! (Free)

No, print and mail it to me

Join us in conserving our waste by only printing a bill if you absolutley need one.

Information Verification *

I swear, under penalty of perjury, that all the above information is correct and accurate

By checking this box, I acknowledge that the information provided in this application is factual and true.