Sign Up for High-Speed Internet

High-Speed Internet Service Agreement

Thank you for choosing Walnut Hill. All Fields highlighted in (*)are required fields.
“To get our High-Speed Internet you must also sign up for Telephone Service”


First Name*

Middle Name

Last Name*

Mailing address*

Street Address - City State Zip*

Phone number*



Walnut Hill High-Speed Internet Access

Residential High-Speed Internet Access
Service Options and Charges - 24 Month Contract

Note: Actual speeds may vary. See Service Level Agreement form for actual factors that may cause speeds to vary.

Business High-Speed Internet Access
Service Options and Charges - 24 Month Contract


Note: Actual speeds may vary. See Service Level Agreement form for actual factors that may cause speeds to vary.


Modem/Router Lease $7.99

Other Charges and Equipment (check all that apply):



Surge Protection



Firewall Protection



Virus Protection



Wireless Security




E-mail Accounts “Optional”

-You may create a walnuthill.net email address if you wish.
-Passwords should be at least 8 characters and contain lower / uppercase letters, number, and at least one special character (&,$,@,%, or !).

E-mail Address

Password

Current Email*



New terms and conditions

Customer agrees the information they're submitting is accurate.
Submission of this form with your initials represents a signed 24 month contract.

Initials*


Walnut Hill Telephone Company

Address:
P.O. Box 729
Lewisville, AR 71845

Call Us:
(870) 921-4224

Fax:
(870) 921-3294