Service Qualification - Residential - River Valley Internet

Thank You for Considering River Valley Internet!

Filling out this form does not require you to get service with us.
You will be contacted within two business days by one of our representatives via E-Mail to discuss your service needs.

All service requests and scheduling are currently being handled through E-Mail ONLY.

We do NOT participate in the Affordable Connectivity Program (ACP).

We provide residential service to Central Pennsylvania ONLY.

Service Request Form

* Indicates required field

Full Name *

First

Last

Address (Where You'd Like Service) *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

E-Mail Address *

Do you own or rent at this address? *

Own Rent

How did you hear about us? *

Briefly let us know why you're considering River Valley Internet: *

Do you have any additional questions? *

Submit