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Wireless Networking Online Request Form

Simply submit this online request form or call one of our office locations to sign up for Mosaic Telecom's Wireless Networking. By submitting this form you are agreeing to the associated charges of $19.95 monthly for a minimum of 1 year. A Mosaic Telecom representative will contact you within 2 business days to set up an appointment. Our Wireless Networking service is only available to Mosaic Telecom high speed Internet customers.

  * Required fields
 Account Number:*
 (As shown on your bill. Usually your telephone number.)
 Email Address:* 
 Bill-to Name:*
 Your name (if different):
 City:*  
 Day-time phone number:*

 A Mosaic Telecom representative will contact you within 2 business days to set up an appointment.

    
 

Simply submit this online request form or call one of our office locations to sign up for Mosaic Telecom's Wireless Networking. By submitting this form you are agreeing to the associated charges of $19.95 monthly for a minimum of 1 year. A Mosaic Telecom representative will contact you within 2 business days to set up an appointment. Our Wireless Networking service is only available to Mosaic Telecom high speed Internet customers.