Highland Telephone Cooperative, Inc.
7840 Morgan Co Hwy
PO Box 119
Sunbright, TN 37872
(423) 628-2121

Residential / Business Application for Membership and Telephone Service

Application Information

Applicant Name:    Date of Birth:  

Co-Applicant Name: Date of Birth:  

911 Address:  

Mailing Address:  

Contact Information (where you may be reached)

Home Phone #:  

Cell Phone #:  

Primary Email Address:  

Have you had service with us before?  

If yes, what was the number?  

Has present location ever had service with use before?  

Please select which type of bill you wish to receive:  

Credit: Your credit may be checked with the credit bureau. If credit is unacceptable, you may be required to pay an advanced deposit and installation fee. You may be notified by letter of this amount. The deposit may vary between $50 to $100 depending on previous bills with us. The installation fee may be $50 and will be applied to your first month’s bill. The deposit will be held for 12 months and will be refunded on your billing statement.

Services:

*Speeds are approximate and not guaranteed.

Would you like to lease a Wireless router?  

TN Customers Only: Do you reside in the City Limits?  

All applicants please enclose $10 for membership. You will be billed for any installation charges on your first billing statement less any pre-paid installation fee.

Prices do not include taxes or surcharges.

The undersigned (hereafter called “the applicant”) agrees to take service from a corporation organized under the laws of the State of Tennessee, under the name of Highland Communications, LLC. The Applicant will grant to the corporation a right-of-easement to construct, operate, and maintain service on the property where the Applicant receives service. The Applicant assumes no personal responsibility for any debts or liabilities of the corporation and is expressly understood his private property is exempt from the execution for any such debts or liabilities. The Applicant hereby agrees that in the event of default in the payment of any amount due, and if this 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.