Sign Up for Broadband Only

MoKan Communications Broadband Service Agreement

Thank you for choosing MoKan Communications. All Fields highlighted in (*)are required fields.


First Name*

Middle Name

Last Name*

Phone number*

Work number*

Email address*

Billing address*

Service Address - City State Zip*



24 Month Contract

Residential MoKan Dial COMMUNICATIONS Broadband Only Access*

Business MoKan Dial COMMUNICATIONS Broadband Only Access


*Actual speeds may vary. See Service Level Agreement in Terms and Conditions link on bottom of this form for actual factors that may cause speeds to vary.


Modem/Router


**The modem and wifi-extender equipment are the property of MoKan Dial COMMUNICATIONS.


Installation Services


Surge Protection



Firewall Protection



Virus Protection



Wireless Security




Customer agrees the information they're submitting is accurate.

Initials*

New terms and conditions


MOKAN COMMUNICATIONS

Come By Our Office:
112 South Broadway
Louisburg, KS 66053

Call Us:
Office: (913) 837-2219
Toll Free: (800) 758-1715
Fax: (913) 837-5108
Trouble Reporting:
(913) 837-2222