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A next-generation network is coming to your neighborhood!

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Customer Contact Information

First Name

Last Name

Primary Phone Number

Current Email Address

Service Address

Street

Apt/Unit#

Zip Code

City

State

What services are you interested in (select multiple) :

Internet

Phone

Homelife

Who is your current internet service provider?

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SMS (text)

Direct mail

By providing your contact information and submitting this form you authorize Cox to contact you. Your address will be used to confirm service availability in your area. The information collected will be handled in accordance with our Privacy Policy and in compliance with applicable data protection and privacy laws.