Residential Fiber Application for Services Sterling Municipal Light Department 5 LAMB/Fiber Internet 5 Residential Fiber 5 Residential Fiber Application for Services "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Name*Last 4 Digits of SSN*Email* Phone Number*Type of Residence**OwnerTenantService Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address (if different) Mailing Address (if different) Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Preference* Electronic Paper *Fiber Bills are sent electronically to the email(s) provided. If you require a paper bill, you will receive a monthly paper bill charge of $2.00. Please verify qualifying age: I verify I am the age of 65 or older Please verify qualification and documentation: I verify I qualify and will submit proper documentation to SMLD/LAMB Service Start Date* Select Plan Option*Please select a plan...All-in Experience - To Infinity and Baa-yond 1Gb/s $90.00Connected Home-Un -Baa-Leviable Boost 500Mb/s $65.00Affordability (Qualifying Rate) - Baa Baa Basics 150Mb/s $50.00Mesh Extender Rental: $5.00*YesNoLAMB Installation & Turn-Up Fee A $200.00 installation fee applies unless you agree to a two-year service commitment. If you choose the two-year commitment and terminate service before the end of the term, you will be charged an early termination fee equal to the $200.00 installation fee, prorated based on the length of time service was active. Please select one option below. LAMB Installation & Turn-Up Fee Installation Fee 2 year contract Setting up for ACH Payments*This section is not required.Bank Account for FiberBank NameName on AccountRouting NumberAccount NumberAccount Type Checking Account Savings Account Please Attach Copy of Drivers License Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, heic, heif, Max. file size: 25 MB, Max. files: 2. Signature*Date*
