Bascom Bright Wireless Internet Site Survey
Please fill out this form and submit it. We will complete your site survey and contact you with the results as soon as possible.
First & Last Name *
Your answer
Address *
Your answer
City *
Your answer
Brief Description of House/Business *
Your answer
Phone Number *
Your answer
Email
Your answer
What is the best method to contact you? *
Required
Who is your current Internet Provider? *
If you do not currently have a provider please say "None"
Your answer
Bright Wireless currently serves Seneca county, as well as parts of Hancock, Wood, Sandusky, Huron, Crawford, and Wyandot counties. As our coverage expands we will update maps and accept survey requests from other areas.

Please note: Site Surveys are done as time permits and may take upwards of 1-3 business days to respond to.

Your email address and phone number are used for contact purposes only and will not be given out to anyone.

Have additional questions? Please give our office a call at (419) 937-2202

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service