Qualify for FTTX Fiber Optic Service

If you would like to apply for High Speed Internet Service, please fill out the form below and submit it. Eligibility for is limited by your distance from currently available access points, so please give an accurate physical address. If our engineers determine that your location qualifies for service, you will be contacted by one of our representatives. We are currently processing a high volume of applications, so please be patient.

Note: If you would like to sign up for wireless or dsl please go to those webpages for more information.

   
First Name:
Last Name:
Organization:
Physical Address:
Address (continued):
City:
State:
Zip/Postal Code:
Home Phone #:
Work Phone #:
Fax #:
Blue Ridge EMC Acct #:
Email Address: