Business Fiber Order Form

About Your Business

Business Name*

Contact's First & Last Name*

Phone*

Email*

Address*

Map

Please Drag Map Marker to your house to help us find your exact location.

Choose your KWIKOM FIber Internet Plan

Select Fiber Internet Plan*

Would you like to add unlimited Business Phone service?

Choose your phone service:

PBX cloud phone service
Yes – Single Phone Line- $35/line
Yes- Multiple Phone Lines
No, I don’t need phone service

Phone Number(s)

Get a New Phone Number
Keep My Existing Number(s)

Phone Numbers to Keep (Port)

Select the (+) symbol to additional numbers you would like to keep if you have more than one.

Number of locations for CloudPBX

Total number of desk phones / seats for CloudPBX

Do you need a FAX line?

Yes – Single Fax Line
Yes – CloudFax
Not Interested in Fax Service

Fax Number(s)

Get a New Fax Number
Keep My Existing Number(s)

Fax Numbers to Keep (Port)

Select the (+) symbol to additional numbers you would like to keep if you have more than one.

Other Business Services

Are you interested in any other Internet or phone services? We can add these when we set up your installation:

Yes
No

Marketing

How did you hear about us?

You selected "other".. How did you hear about us?

Is there anything else we should know about your installation?

Terms and Conditions

Agree to Terms and Conditions*

By clicking here you agree to KWIKOM’s Terms and Conditions which can be found here at https://www.KwiKom.com/legal

Business Fiber Service Order

About Your Business

Choose your KWIKOM FIber Internet Plan

Would you like to add unlimited Business Phone service?

Do you need a FAX line?

Other Business Services

Marketing

Terms and Conditions

Business Fiber Service Order

About Your Business

Choose your KWIKOM FIber Internet Plan

Would you like to add unlimited Business Phone service?

Do you need a FAX line?

Other Business Services

Marketing

Terms and Conditions

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