Coalfield Application New


Highland Communications,LLC
PO Box 1278, 119 Hillcrest Street
Wartburg, TN 37887
(423) 346-4050

Application for New Service

Application Information

Applicant Name:  Date of Birth:  

Co-Applicant Name:    Date of Birth:   

What county do you reside in?  

911 Address:  

Is your mailing address the same as your 911 address?  

Mailing Address:  

Contact Information (where you may be reached) 

Home Phone #:  

Cell Phone #:  

Email Address:   

Plans Available:
*Speeds are approximate and not guaranteed.

Prices do not include taxes or surcharges.

 

 

 

 

 

 

 

 

 

 
The applicant will grant Highland a right of easement to conduct, operate, and maintain a fiber line on the property where the Applicant receives service. The Applicant hereby agrees that in the event of default in the payment of any amount due, and if the account is placed in the hands of an agency or attorney for collection of legal action, to pay an additional charge equal to the cost of collection including agency and attorney fees and court costs incurred and permitted by laws governing these transactions.
 
The applicant will be billed for any installation charges on your first billing statement less any pre-paid installation fee. The installation fee may be $50 and will be applied to your first month’s bill.
 
 This institution is an equal opportunity provider and employer.

 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Coalfield Application New
lock iconUnique Document ID: 3cc0f59811c5a4f8215ca1fb3d0f796f5aa4b484
Timestamp Audit
March 5, 2023 8:10 pm EDTCoalfield Application New Uploaded by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net IP 67.188.7.166
May 12, 2023 12:30 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - apply@highland.net as a CC'd Recipient Ip: 24.5.18.41
May 12, 2023 12:32 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
May 15, 2023 9:47 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
June 13, 2023 11:52 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
June 13, 2023 11:52 pm EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
June 20, 2023 9:11 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
June 20, 2023 9:11 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
June 21, 2023 6:11 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
June 21, 2023 6:11 pm EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 6, 2023 9:15 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 6, 2023 9:15 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 6, 2023 9:15 am EDTLeigh-Ann Laymance - leighann@highlandtel.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 9, 2023 7:29 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 9, 2023 7:29 pm EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 9, 2023 7:29 pm EDTLeigh-Ann Laymance - leighann@highlandtel.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 9, 2023 7:31 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 9, 2023 7:31 pm EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 9, 2023 7:31 pm EDTLeigh-Ann Laymance - leighann@highlandtel.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 10, 2023 9:45 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
July 10, 2023 9:45 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:22 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:22 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:31 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:31 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:32 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:32 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:56 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:56 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:57 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 9:57 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 11:31 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 14, 2024 11:31 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 15, 2024 11:21 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 15, 2024 11:21 am EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 16, 2024 2:21 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 16, 2024 2:21 pm EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 16, 2024 3:50 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
August 16, 2024 3:50 pm EDTHighland Communications - apply@highland.net added by Customer Service 1-800-790-2257 - leighann@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
October 9, 2024 10:59 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
October 9, 2024 10:59 am EDTCampbell and Coalfield - SR-HCC@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
October 22, 2024 9:32 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
October 22, 2024 9:32 am EDTCampbell and Coalfield - SR-HCC@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
October 22, 2024 9:32 am EDTLeigh-Ann Laymance - Webadmin@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 24.5.18.41
March 13, 2025 4:11 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
March 13, 2025 4:11 pm EDTCampbell and Coalfield - SR-HCC@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
March 13, 2025 4:11 pm EDTLeigh-Ann Laymance - Webadmin@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
March 13, 2025 4:22 pm EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
March 13, 2025 4:22 pm EDTCampbell and Coalfield - SR-HCC@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
March 13, 2025 4:22 pm EDTLeigh-Ann Laymance - Webadmin@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
April 21, 2025 10:12 am EDTClaudine richmond - crichmond@ltbx.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
April 21, 2025 10:12 am EDTCampbell and Coalfield - SR-HCC@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
April 21, 2025 10:12 am EDTLeigh-Ann Laymance - Webadmin@highlandtel.net added by Customer Service 1-800-790-2257 - Webadmin@highlandtel.net as a CC'd Recipient Ip: 67.188.7.166
Audit trial Qr code
This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://highland.net/
Audit Trail Serial# c280bad240c84cc42e7a9402ee415333