Request Service

Please fill out the following information request form or call us at 606-563-1010 to get started experiencing the exciting world of broadband.

* All services are subject to our Subscriber Agreements

Last Name :

First Name :

Business Name :

Home Phone :

Cellular Phone :

Current E-mail Address :

Street Address :

City :

State :

Zip Code :

Best time to contact you :

Service Plan :
Will you need us to provide any equipment? :
How did you hear about SCS Wireless? :
Comments :