Palm Court Apartments

Resident Name *

First Name

Last Name

Is this a unit transfer request *

Yes, existing customer moving units

No, this is a new customer in the residence

Phone *

(###)

###

####

Internet Service Package Requested *

100Mbps Internet Service with Unlimited Data

300Mbps Internet Service with Unlimited Data

Requested Install Date

If an install is required, the install will be scheduled on the date requested or within three days prior

MM

DD

YYYY

Install Fees *

If there is a technical installation required shall we charge the customer or the property?

Internet Install needed - Please add the $79.99 charge the monthly property billing and SCHEDULE THE INSTALL

Internet Install needed - Please call the customer and request payment

No Installation is required - Modem still in unit

Is the Resident interested in Phone Service? *

Phone Service starting at $24.99/month + taxes and fees. This is VOIP phone service and an adapter is installed in the unit. Resident must supply the actual physical phone(s).

Yes - Please call the resident to sign them up for Phone Service

No, they are not interested at this time