Emergency Broadband Benefit | Service Order Form

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Emergency Broadband Benefit Program

Adams County

Adams County Wireless Internet

SkyFi High Speed Wireless Internet

Up to 25 x 3 Wireless Internet:	Regular	$55.95*	EBB	$5.95*

*Taxes, Fees, Equipment and Installation not included.

It's as easy as 1 - 2 - 3

1 - Complete the National Verify Application. How to Apply - EBBP (getemergencybroadband.org/how-to-apply)
2 - Fill out and submit this easy sign-up form below and click submit.
3 - A Customer Service Representative will email and/or call you.

Name* Email* Phone* Street* City* State* Zip*

If the pin marking your address seems to be incorrect, please left-click your location on the map. You can zoom in and use the satellite view to help pin-point your location.

Street-View Satellite-View

Enter your EBB Verification Code
This is obtained from the EBB page https://getemergencybroadband.org/how-to-apply.

   I am interested in adding SureStream TV Service.
   I am interested in adding Residential Phone Service.

   I am interested in purchasing a Tablet for $25.00 (Value $149.99).
---    While supplies last - Internet service must be activated before delivery - Must be enrolled in the EBB program.

My current Internet provider is:

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