GRU.Net/Gator.Net High Speed Sign-up Application

GRU.Net/Gator.Net High Speed Sign-up

Please provide all information for the apartment you will be moving to (that we will be installing the high-speed into).

Personal and Apartment Information

First Name *

Last Name *

Address with Apt#*

City*

State*

Zip*

Phone (###-###-####)*

Location Information

What is your location?*

Are you moved in?*

If not yet moved in, when are you expecting to move in?

Month	Day	Year

Set-up information

What kind of computer do you have?*

What Operating System do you have?

Does your computer already have an Ethernet card?*

* = required information