River Canyon Wireless – Sign Up

All fields must be completed before we will process the service application. First month is due at the time of install. Payments may not be accepted onsite. Alternatively, you may download a printable PDF application and mail or carry it in. Payment for install and the 1st month of service is required when install is completed. Install Technician may accept Cash, Check or Credit/Debit card. We reserve the right to use this information to carry out a credit check for service.

  • Payments can be accepted on site
  • No payments until installed
  • First month due at time of installation
  • Call the office for business plans
  • We offer managed routers, these routers we own and maintain.
  • We can offer content filtering

When you’ve filled out the online application, please pick your username and password for getting into your account. Save this information!

All BOLD fields marked with a * are required.

    First Name *

    Last Name *

    Spouse Name

    Subscriber Date of Birth

    Drivers License/ID # *

    ID State *

    Physical Street *

    Physical City *

    Physical State *

    Physical Zip Code *

    Mailing Address

    Mailing City

    Mailing State

    Mailing Zip Code

    Home Phone

    Cell Phone

    Work Phone

    Email Address*

    Paperless Billing
    I would like to receive my billing statements by email.

    If you would like to use the Internet on multiple devices, or you would like to have wireless inside your home, you will need a router. We can offer a managed router as a part of our service, or the customer can provide their own. If you wish to purchase your own router from us, our technician can sell you one for $34.99 + Tax.

    Internet Service Plans*

    Both Subscriber and Landlord/Property Owner lines must be filled out in order to process this application. We must have both the Subscriber and the Property Owners names, even if they are the same person. By typing your name in the Digital Signature field you are legally digitally signing this application.

    Online Account Access (Subject to Website Terms & Conditions.)
    I would like to sign up for Online Account Access

    Preferred Username (lowercase, no capitials)

    Preferred Password (password needs to contain, a number, a symbol, and a upper case character, min 8 and max 30 characters)

    Is this building a rental?
    YesNo

    Landlords Full Name

    Landlord Phone Number

    Terms of Service *
    I have read and agree to the Wireless Internet Service Agreement

    Subscriber Full Name (Digital Signature)*

    Sign Up

    River Canyon Wireless - Sign Up

    All fields must be completed before we will process the service application. First month is due at the time of install. Payments may not be accepted onsite. Alternatively, you may download a printable PDF application and mail or carry it in. Payment for install and the 1st month of service is required when install is completed. Install Technician may accept Cash, Check or Credit/Debit card. We reserve the right to use this information to carry out a credit check for service.

    All fields marked with a * are required.

     

    The cost of a wireless Router is not included in the install fee or the monthly rate. Routers are customer owned and purchased. If you would like to use the Internet on multiple devices, or you would like to have wireless inside your home, you will need your own router. If you do not already have a router, our technician can sell you one when he is installing your connection. The router our technician sells is $49.99 + Tax.

    An install fee of $54.99 plus the first months service rate must be paid at the time of the installation. Please be prepared to pay at the time of your install. Installers can accept cash, check, credit or debit card on site.

    Internet Service Plans (Pick One):*

    Bluff customers must pay a monthly B.O.B fee (Business Owner of Bluff). Residential customers pay $5 a month. The business fee is $10 a month. This is for construction and maintenance of the Equipment in Bluff

    Both Subscriber and Landlord/Property Owner lines must be filled out in order to process this application. We must have both the Subscriber and the Property Owners names, even if they are the same person. By typing your name in the Digital Signature field you are legally digitally signing this application.

    Permitting and Landlord Approval: It is the Subscribers responsibility to obtain any and all required permits, homeowner association's approvals, mortgage grantors permission, or to grant or gain landlord approval for the placement of antenna on the Subscriber's building. Landlord/Owner consents to the installation, maintenance, and removal of the equipment described herein and required by the subscriber to receive River Canyon Wireless services.