Service Qualification - Residential - River Valley Internet

Residential Service Request Form

Filling out this form does not require you to get service with us.
We respond to every service request so if you have not received an e-mail from us, be sure to check your spam folder!

* 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 *

How would you like to be contacted? *

Phone E-Mail Smoke Signals

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? *

Do you have any additional questions? *

Submit

You will be contacted within two business days by one of our representatives.

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

We provide residential service to Central Pennsylvania only.