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Syntrio Interest
Santa Rosa Interest Form
First Name
*
Last Name
*
Street Address
City
State
Zip
Directions to Location
*
House Description
*
Email Address
*
( All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email. )
Contact Number
*
Who is your current Internet provider?
*
AT&T
Suddenlink
Wireless Internet
Windstream
HughesNet
How did you hear about Syntrio?
*
Website
Email
Direct Mail
Yard Sign
Vehicle Decal
Radio Ad
TV Ad
Facebook Ad
Newspaper Ad
Search Engine (Google, Bing, Yahoo)
A Friend
Door to Door Salesperson
Social Media (Twitter, Facebook, Instagram, etc.)
Event
Other
PROMO CODE
*Some restrictions apply. Limited supplies. Must be installed before 4/1/2022.
Bill Pay Options
*
Email Bill (Online payment/ Mail-in payment)
Paper bill and mail in payment (An additional $2 fee will be charged each month)
Questions or Comments
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