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Residential | Business

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Call: (877) 253-7835

Phone Service Sign Up

Fill out the online form below to get started

Step 1 of 2

50%

Are You A New Customer?(Required)

Yes

Status(Required)

New Install

Reconnect

Transfer

Applicant Name(Required)

First Last

Date Of Birth(Required)

MM slash DD slash YYYY

Last 4 digits of SSN# (Optional)

Please enter a number less than or equal to 9999.

Govt. ID or Driver's License Number(Required)

Attach Photo Of Driver's License

Max. file size: 100 MB.

Phone -CBR Number(Required)

May We Send You Text Messages?(Required)

Yes

Email(Required)

Enter Email Confirm Email

Employer Source of Income

Employer Source of Income	Employer Phone	How Long Have You Worked Here?	Actions

There are no Entries.

Maximum number of entries reached.

Do You Have A Co-Applicant?(Required)

Yes

Co-Applicant Name

First Last

Date Of Birth

MM slash DD slash YYYY

Last 4 Digits Of Social

Please enter a number less than or equal to 9999.

Govt ID or Driver’s License Number

Attach Photo Of Driver's License

Max. file size: 100 MB.

Phone - CBR Number

May We Text You?

Yes

Co-Applicant Email

Co-Applicant Source of Income

Employer Source of Income	Employer Phone	How Long Have You Worked Here?	Actions

There are no Entries.

Maximum number of entries reached.

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Service Address Same As Above?(Required)

Yes

New Service Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do You Rent Or Own?(Required)

Rent

Own

New Install?(Required)

Yes

Not sure

Do You Know Your Account Number?(Required)

Yes

What Is Your Account Number?

Service Address(Required)

Same As Billing

Has This Address Had Service With Us Before?

Yes

Not sure

New Service Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is This New Construction?(Required)

Yes

Not sure

I wish to publish this telephone number in the print Directory & 411 - Directory Assistance

Publish

Don't Publish

Name - As It Will Appear In The Directory

First Last

The following telephone features are free of charge at time of install and are added at your request

Block collect calls from being accepted from this line

Block 3rd party billing calls to this line from another number

Block 900 numbers from being called from this line

Block International calls over this line

Block telephone number from showing on Caller ID units for this number

None Of Above

Additional Charge Phone Features

Show Incoming Caller ID

Call Waiting

Voicemail

Call Forwarding

Inside Wire Maintenance Plan

None Of Above

Long Distance Provider - PIC "Preferred Interexchange Carrier"

Please enter the name and four-digit preferred interexchange carrier (PIC) for your long-distance carrier selection. Before you will be able to use your new long-distance provider, you must contact them to establish an account.

Carrier Name

Intralata PIC

Carrier Name

Intralata PIC

Sebastian offers a variety of Long Distance calling plans. Please ask your Customer Service Representative for details.

I designate Sebastian as my Preferred Carrier

Yes

HOW TO AVOID BEING SLAMMED (PIC FREEZE)

Slamming illegally changes your long distance carrier without your authorization. In order to avoid having your long distance carrier changed without your consent, Sebastian can establish a Preferred lnterexchange Carrier (PIC) freeze on your account. A PIC freeze prevents a change in your long distance carrier

I request Sebastian to place a PIC freeze on my account so that my choice of long distance carrier. lntralata Toll and lnterlata Toll. Cannot be changed without my consent.

CALIFORNIA LIFELINE DISCOUNT PROGRAM

The California Lifeline Telephone Program (California Lifeline) provides discounts on basic home phone service to qualified households. This consumer program of the California Public Utilities Commission helps consumers to lower their phone bills.

Are You Eligible To Enroll In The California Lifeline Program(Required)

Yes

Not sure

Applicant Signature(Required)

Co-Applicant Signature

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