Santa Rosa Interest Form First Name * Last Name * Street Address City State Zip Directions to Location * House Description * Email Address * ( All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email. ) Contact Number * Who is your current Internet provider? * AT&T Suddenlink Wireless Internet Windstream HughesNet How did you hear about Santa Rosa Fiber? * Website Email Direct Mail Yard Sign Vehicle Decal Radio Ad TV Ad Facebook Ad Newspaper Ad Search Engine (Google, Bing, Yahoo) A Friend Door to Door Salesperson Social Media (Twitter, Facebook, Instagram, etc.) Event Other PROMO CODE *Some restrictions apply. Limited supplies. Must be installed before 4/1/2022. Bill Pay Options * Email Bill (Online payment/ Mail-in payment) Paper bill and mail in payment (An additional $2 fee will be charged each month) Questions or Comments If you are human, leave this field blank. Submit
