Fibernet Monticello

FiberNet Equipment Authorization Form

The first step in the FiberNet connectivity process is to fill out an Equipment Authorization Form. We are providing FREE infrastructure installation to your house/business (during initial construction only). In order to receive your free fiber optic conduit, cable, and network interface device you must fill out the form below. Filling out this form does NOT obligate you to sign up for services through FiberNet Monticello.

First Name:	Last Name:
Address:
City:	State: Postal Code:
Email:
Phone:

Cell Phone Number

By checking this box I herein agree to the following: I am the owner of the above mentioned property and therefore have the authority to sign this form and hereby authorize FiberNet Monticello to install fiber optic conduit, cable, and a network interface device on the subject property. The above information is accurate and checking this box will serve as an electronic signature.

We care! Help us to be informed about what is contained on your property. Please check all applicable boxes below: Underground Electric Fence Sprinkler System Accessory Structure Other


Fibernet Monticello 118 6th Street West Suite A Monticello, MN 55362	HOME \| RESIDENTIAL SERVICES \| BUSINESS SERVICES \| CUSTOMER SUPPORT \| CONTACT US ABOUT FIBERNET \| POLICIES \| PRIVACY STATEMENT \| ONLINE FORMS	PHONE: 763-314-0100 888-606-9262