Config.Com, Inc. Wireless Internet Access and Site Survey Request

By filling out the following form, you haven't committed to anything, merely put in a request that we perform a site survey to determine whether or not the service is available to you. If it is and you are ready to sign up, we'll schedule an installation for you. If it's not available, don't worry, we are always looking to expand our network so it might be available soon.


(* denotes a required field)
First Name *
Last Name *
Street *
City *
State *
Zip *
Preferred Phone *
Secondary Phone
Email *

If there are any additional requests or pieces of information you think might be helpful like directions, more contact information, good dates/times to reach you, etc.