Wireless Internet Access Site Survey Request

This is the first step in getting SKYWEB's Wireless Internet Access Service. After you fill out this form, a SKYWEB representative will visit your location to perform a site survey. The site survey is required to determine if the signal from one of our broadcast locations is of sufficient strength and quality. The site survey is free and there is no obligation to accept the service. You can also request a site survey by calling SKYWEB at 304-258-1976.

Contact Information

Name:

Address:

Business Name (if applicable):

City/Area:

Zip Code:

Home Phone:

Business Phone:

Current Email Address:

Best Time to Contact:

Installation Information

Type of Building:

Computer Location:

Type of Basement:

Desired Service:

Notes: Please note anything special we should know such as directions to your home or office, a location where the antenna must be mounted, a location where the antenna can not be mounted, existing network wiring, network hubs or routers, etc.

Referral

How did you hear about us? Enter person's name if this is a referral: