Wireless Broadband Site Survey Request Form

About Fixed Wireless
Fixed wireless is a rapidly growing alternative to wired connections (i.e. telephone and cable) for high-speed broadband wireless Internet access. It uses microwave signals to transmit voice, video and data in various radio frequencies from a stationary transmitter (usually a radio mounted on a high point) to a stationary receiver (an antenna). Fixed wireless users include residential, business and institutional customers who may purchase service directly from us, bypassing the telephone and cable companies.

Please select nearest city to address where you want service:

Chinook
Elwha
Forks
Ilwaco
Joyce
Long Beach
Naselle
Nemah
Port Angeles
Raymond
Sekiu (Fall 2012)

Please enter your name and the 911 address of property that you wish site survey to be performed at:

First Name
Last Name
Title
Organization
911 Street Address
Address (cont.)
City
State
Zip/Postal Code
County	Clallam or Pacific
Work Phone
Home Phone
Cell Phone
FAX
E-mail
URL

Enter directions to the address where you want wireless broadband service ... in the space provided below.
Please enter your nearest neighbor's 911 address if you know it.
Who is your current ISP?
What is the best time to call?

AM PM

CresComm WiFi, LLC ● 800-562-0036

PO Box 250 ● Long Beach, WA 98631-0250

Last Updated 04/25/2012 sales @ crescommwifi.com