Contact RocketWeb

Please take the time to fill out the following form so that we may better serve your wireless needs. We endeavor to respond to all form submissions within 24 hours.
Have special needs or specific questions? No problem. Just let us know in the "Comments/Questions" section below or give us a call at (970)240-0541 and we'll do what we can to accommodate you.
 

Please fill out the form as completely as possible. Fields marked with an asterisk(*) are required.

[your contact information, so that we may respond to you in a timely fashion]
*Name:
Daytime Phone: 
Evening Phone:
*E-Mail Address: 

[the service plan in which you are interested]
 I am interested in the service plan to be used in a setting.

[let us know how you will be using the Internet so that we may better serve your needs]
I primarily use the Internet for...
Web Surfing
E-Mail
Games
Downloading Software
Other
I anticipate/estimate my total monthly online time will be/is...
Less than 10 hours
Between 10 and 50 hours
Between 50 and 100 hours
Between 100 and 200 hours
More than 200 hours

[information about the area in which you live]
I live/work in a(n) and there special covenants/building restrictions in my area.

[your address for use in determining the potential of wireless signal in your area]
*My street address is ,
*and I am located in beautiful, historic , Colorado.

[additional comments or questions can be listed here]

Comments/Questions:


(970)240-0541

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