Fiber Residential Sign Up

Residential Sign Up Form

Click here for more informaion on Mapleton Fiber.

Click here for commercial sign up.

Customer Name

First NameLast Name

Service Address

If there are multiple locations place a comma between each address.

How Did You Hear About Us?

How Did you Hear About Us?

Referral Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

The contact information you submit below is what we will use to contact you to set up your fiber internet service. Please enter a phone number and email address that you check and respond to regularly.

Customer Phone Number

Area CodePhone Number

Customer Email

example@example.com

Mapleton City Utility Account Number

Applicant must have a current utility account in order to sign up for service. The account number can be found on your bill or by calling (801) 806-9105.

Select level of Service

Please select your desired level of service

Please upload image of drivers license or other legal document certifying age:

Browse Files

Would you like a Managed Wi-Fi Router?

I understand my responsibility to ensure my equipment is compatible with the service level speeds.

I understand that any modem and/or managed-wifi router placed in my home is property of Mapleton City. I also understand that if I cancel my Mapleton Fiber internet service for any reason, it is my responsibility to return any managed-wifi routers to Mapleton City within two (2) business days. I acknowledge that for any router still in my possession two (2) business days after I end service, I will be charged a $150 inventory fee per device.

Residential Fiber Internet Rates

300 Mbps	1 Gbps	2 Gbps
$79.00/month*	$89.00/month*	$129.00/month*
Free professional installation	Free professional installation	Free professional installation
Free access terminal	Free access terminal	Free access terminal
Most affordable plan - supports multiple devices for audio/visual streaming	More speed and reliability, which results in less buffering and quicker loading times	Double the speed, which provides the best support and speed for smart homes

*Residential fiber internet rates are inclusive of all taxes and fees

Mapleton Fiber will provide the fastest and most reliable Internet service possible. Full high speed Internet service is contingent on the end equipment connected to our network. All client provided end equipment must be compatible with the service level speeds selected at signup.

Signature

Date Signed

FOR OFFICE USE ONLY

	Save to drive with utility number:
	Verify serivce ready
	Add service to billing