Order Now—Application for Residential Service
All information will be kept confidential

Personal Information (* = required)

*First Name

*Last Name

*Service Address

Billing Address (if different)

*Daytime Phone

*Evening Phone

Cell Phone

Email

*Preferred method of contact?

*Do you rent or own at service address?

Landlord's Name

Landlord's Telephone

Landlord's Address


Choose Your Bundle:

Marketplace Bundle | $65 (Triple Play)

Champlain Bundle | $125 (Triple Play)

BT Bundle | $140 (Triple Play)

Queen City Bundle | $175 (Triple Play)

Waterfront Bundle | $50 (Double Play: Internet & Television)

Lighthouse Bundle | $80 (Double Play: Internet & Telephone)

Champ Bundle | $85 (Double Play: Television & Telephone)

Boathouse Bundle | $110 (Double Paly: Television & Internet)

Catamount Bundle | $125 (Double Paly: Television & Internet)

 

How did you hear about us? Click all that apply.

Landlord

Neighbor

Newspaper

Phonebook

Other

Radio

Previous Customer

Event

Agency or Organization

Social Network

Existing Customer

Friend

Website

Internet

Were you referred by:

SEABA: South End Arts and Business Association?

City Market/Onion River Co-op?

Landlord:
(Please provide name:)  

Other:
(Please provide name:)  

None of the above.

Please sign me up for the Front Porch Forum
Please send me BT’s monthly e-newslettter

Comments:

After submitting this application, a customer service representative will contact you to verify your application and schedule an appointment.
Looking for different options?

Call us to place
a custom order:
540-0007

Residential Sales & Support:
Call: 540-0007
Monday-Friday, 8 AM to 5:30 PM
Business Sales & Support:
Call: 540-0009
Monday-Friday, 8 AM to 4:30 PM
Help Desk Hours:
Monday-Saturday, 8 AM to 10 PM
Sunday, 10 AM to 6 PM
Office Fax:
(802) 652-4220
Mailing Address:
200 Church Street
Burlington, VT 05401

 

 

A state-of-the-art telecommunications network for Burlington residents and businesses.