Home > All Services > Broadband > Equal Access Santa Cruz County Equal Access Santa Cruz County Equal Access Santa Cruz Haga clic aqui para ver este formulario en español. If you have any questions before filling out this form, contact us and a member of our staff will be in touch with you shortly If you would like to learn more about EASCC and the many benefits it brings to our county and how you could help, please click here EASC Discounted Connection- Internet + WiFi hardware for only $14.95 *with eligibility Yes, please connect me and my family Signup Code * Required If you do not have a signup code, please contact the entity that referred you for information on how to apply for this program. Agreement to Terms * Required By initialing here, I have read and agree to the Cruzio Internet Terms of Use, which can be viewed here. Written cancellation notice must be received by the first day of the last month of services, even for month-to-month terms. The new service requires the installation of a small receiver on your roof or eaves. What’s the best time/day for our install crew to come to you? More information on this can be found on our blog Our first step is to confirm your service eligibility. Please choose at least 2 different times/days and we’ll try our hardest to fit you in within those times. * Required Our first step is to confirm your service eligibility. Please choose at least 2 different times/days and we’ll try our hardest to fit you in within those times. Anytime, I don't need to be there Monday Morning Monday Afternoon Tuesday Morning Tuesday Afternoon Wednesday Morning Wednesday Afternoon Thursday Morning Thursday Afternoon Friday Morning Friday Afternoon No preference, just let me know when you're coming out It's complicated, please call me Account InformationOptions for payment are:Options for payment are: Contact me to put a credit card on file for auto-pay and receive monthly statements via email Please send me a bill via snail-mail and I'll pay by cash, check, or money order First Name * Required Last Name * Required Business Name Phone * Required Email Prefered Contact Language English Spanish Service InformationStreet Address * Required Apartment, Unit, Space, Etc City * Required State * RequiredAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code * Required Comments/QuestionsCommentsThis field is for validation purposes and should be left unchanged. Δ
