[First Step Internet]

Site Survey Request Form

NOW AVAILABLE IN EASTERN WASHINGTON & NORTH CENTRAL IDAHO

If you live in Moscow, Pullman, Troy, Orofino, Pomeroy, Genesee, Green Creek, Grangeville, Palouse, Lewiston, Clarkston, Colfax, Garfield, Oakesdale, Tekoa, Colton, Potlatch, Uniontown, Onaway, Princeton, Harvard, Deary, Bovill, Weippe, Steptoe, Farmington, the Southwick/Cavendish, Cottonwood, Ferdinand, Grangeville, Asotin, Craigmont, Fenn Area, Kamiah, Nez Perce, Rosalia, Tensed, Winchester, the region around Teakean butte, the region around Kamiak Butte, please use this form to request a wireless technician to test your location for the availability of wireless service. Please provide cross street information and indicate any significant landmarks that can be used to locate your address in the Special Instructions/Driving Directions box. To ensure prompt service, please be sure that all contact information is correct before submitting this form.

For other questions and requests please email us. Text in red is a required field.

PERSONAL INFORMATION


First Name:	Last Name:	Company:

CONTACT INFORMATION

Street Address

City	Zip

Phone Number	Email

ACCESS INFORMATION

Due to the nature of wireless connectivity, direct line of sight to an access point will need to be confirmed by the technician who performs your site survey. In some cases it may be necessary to get on the roof of your property using a ladder to determine if direct line of sight is possible from your location.
Permission for roof access:
Permission Granted Permission Denied

SPECIAL INSTRUCTIONS / DRIVING DIRECTIONS:

HOW DID YOU HEAR ABOUT US?

Please type the letters below to submit the form