Sign Up for Broadband Only

Broadband Only Service Agreement

Thank you for choosing Walnut Hill. All Fields highlighted in (*)are required fields.


First Name*

Middle Name

Last Name*

Phone number*

Work number*

Email address*

Mailing address*

Service Address - City State Zip*



24 Month Contract

Residential Walnut Hill Broadband Only Access*

Business Walnut Hill Broadband Only Access



*Actual speeds may vary. See Service Level Agreement in Terms and Conditions link on bottom of this form for actual factors that may cause speeds to vary.


Modem/Router



**The modem and wifi-extender equipment are the property of Walnut Hill.


Installation Services



Non-contractual Charge For Installation
The non-contractual charge for installation of WALNUT HILL High-Speed Internet Service is $185.00.The rate includes wiring and programming to the Telephone Demarcation Point (modem or jack). Connection to other devices and/or any other work performed will be billed on a per hour basis, with a one-hour minimum charge.


Surge Protection


Firewall Protection


Virus Protection


Wireless Security




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