Firefly Services Request Form

Please Select Your County*

Phone Services

Phone Package

Phone Transfer?

No Voice Services
I would like a new phone number
I would like to transfer an existing phone number

Phone Install Options

Phone Equipment

Internet Services

Internet Package

Internet Install Options

Internet Equipment

Equipment Add-ons

Desktop wireless card $55
Laptop wireless card $55
Desktop wired card $15
4 port wired router $55
4 port wireless router $65
4 port wired router w/2 phone ports $99
4 port wireless router w/2 phone ports $125
Analog Telephone Adapter $49

Web Hosting Services

Fileshelter Online Backup

Computer and Networking Services

Check Needed Services

Computer Repair
Network Setup or Configuration
Network Troubleshooting
Internet Security & Firewalls
Hard Drives Backup and Disaster Recovery
Wireless Network Solutions

Personal Information

First Name*

Last Name*

Company

Phone*

Physical Address*

Billing Address*

City*

State*

Zip Code*

Current Email

How Did You Hear About Us?

Additional Comments:

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