Thank you for your interest in Fibercreek Internet. This form will be used by the Fibercreek to determine your eligibility for internet services. Additionally, this form will be used by the County United Way to determine if your household qualifies for reduced rate internet services. If you are not looking for affordably assistance please use the normal signup form.

    Information collected on this page will be used exclusively for the above mentioned purposes and will not be given to any other third party, or used for any other purposes.