ZIPP NETWORK CONNECTION REQUEST
Address where Zipp will be connected
Uncheck here if your mailing address is different from the one above
We must have the signature of the property owner before a request can be processed. Please see Owner/Renter Agreement form.
Is there any life support at the residence?
If so, what type?
Do you have dogs?
If yes, please detail if they are confined and number, types and names of dogs
(if other than owner/renter)
YOU WILL NEED TO HAVE CAT5 CABLING INSTALLED IN YOUR HOME:
I would like a do-it-yourself Cat5 workbook.
I would like to pick my own contractor.
I would like GCPUD to contact a contractor for me.
I would like my service provider to install it.
INDICATE WHICH SERVICE PROVIDERS YOU HAVE SELECTED:
Note: You must select a provider to receive Zipp Network service.
Video Service Provider:
(All conditions of service are subject to our customer service policies)