Service Qualification - Residential - River Valley Internet

Residential Service Request Form

Filling out this form does not require you to get service with us.

* 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

What Service Are You Looking For? *

Internet Phone Internet & Phone

How did you hear about us? *

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

Do you have any additional questions? *

Submit

You will be contacted within two business days by one of our representatives.
All residential service requests & scheduling are being handled through E-Mail ONLY.

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

We provide residential service to Central Pennsylvania ONLY.