Pagosa Springs Residential Site Survey Request

Name *
Please enter physical address of location for site survey.
City *
This form may only be used for Pagosa Springs residential. For business select the business site survey form or for Bayfield, Durango, Igancio please select the site survey form for those locations.
Phone *
Please enter the number you want to be contacted at. Please make sure it is a working number and include area code
Please enter any special driving directions or information needed to find your location.
Speed Desired *
What speeds are you interested in?
Own or Rent? *
If you rent your landlord will have to approve the installation
Permission For Site Survey *
If your property is within our general coverage area we will need to perform a free site survey of the property to make a final determination of the services we can offer. We typically perform site surveys on Mondays and Thursdays weather permitting. You do not need to be on site for the survey as long as the technician can freely walk about on the property. To expedite the process please indicate your permission to survey below and we will put you on the next survey schedule and follow up by phone within one to two business days after the survey is done.