Create your own experience!

Interested in getting Phone, Internet and/or TV services from Genuine Telecom? Fill out the below form by mixing and matching the services you are interested installing in your home and hit the ‘submit’ button.

If you would rather download a form and fill it out, please click on the preferred application below and return to our office.

We will be in contact with you about the services and guide you through the next steps of set up and installation.

Name *

First

Last

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address (if different then Billing Address)

Address Line 1

Address Line 2

City

State

Zip Code

Physical address/location of the installation of services if different then the billing address.

Phone *

Email

Comments or Questions?