In order for Allband to process your request for service, we must have an application on file. Please fill out and submit the application below. If you have any questions, call 989-369-9999. Thank you! First Name *Last Name *Is the service for a business? *HomeBusinessBusiness NameBusiness PhoneAre you the owner of the property? *OwnerRenterProperty Address *CityZIP / Postal CodeCounty *Township *Phone (Cell) *Phone (Home)EmailTextEmail consent: How do we use your email address? Mainly for billing purposes. We occasionally notify our customers (no more than once per month) when we offer a discount or have relative news, like major speed or equipment upgrades. For those unable to get service, we will only contact you if we have important updates on the availability of service. If you do not wish to receive an email, just click the unsubscribe button. Thank youInternet ServicesInternetRouter LeaseStatic IPPhone ServicesTelephonePort a NumberMulti-line Phone SystemI have a mailing address that is different from my home addressYesStreetMailing AddressCityStateZIP / Postal CodeDate of Birth *Social Security # *License # *State Issued *Add additional account owners?YesThose with access to make account changes and/or decisionsFirst NameLast NamePhoneEmailFirst NameLast NamePhoneEmailHow did you hear about us?Which of our staff helped you?Anything you'd like to add? Leave us a note here!Your Signature * Send Message
