First, Middle, Last Name: (required, put contact person for business)

Organization Name (if applicable):

Email Address:

Contact #: (required) ~ Please format with dashes (e.g. ###-###-####)

Social Security #: (required, put Federal Tax ID # for business)

Driver's License #: (required, put n/a for business)

Date of Birth: (required mm/dd/yyyy, put n/a for business)

Spouse First, Middle, Last Name:

Spouse Email:

Spouse Contact #: ~ Please format with dashes (e.g. ###-###-####)

Spouse Social Security #:

Spouse Driver's License #:

Spouse Date of Birth:

Billing Address, City, State, Zip: (required)

Service Address, City, State, Zip: (required)

If renting, give name and contact # for landlord:

EQUIPMENT AGREEMENT*:

Connecting TCC service may involve the use of TCC equipment, such as video receivers, modem, router, or Wi-Fi extender. Upon disconnection of TCC services, it is your responsibility to return equipment leased from TCC.

Replacement costs for equipment not returned are:
$375 Video receiver
$125 Internet modem or router
$125 Wi-Fi extender

*Read complete terms by clicking the link at the top of this page.

I agree to the terms of the Equipment Agreement

Type Your Name (as signature): (required)

How Did You Hear About Us? (required)
ReferralInternet SearchNewspaper AdTV CommercialRadio AdSign/Office/VehicleDirect MailOther^

^If "Other" Please Specify:

After hitting "SEND" you will be taken to the SmartHub Order Management page where you will choose your services and features. Thank you!