PingTown! - Shelton Subscription Form

PingTown! Signup for Landlines, Email and Mobile phones.
Note: You must call the PingTown! Shelton # (203) 538 6848 from your phone before submitting this form.

Are you a Shelton, CT Resident?

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If you are not a Shelton, CT Resident, please tell us the name of the organization you are affiliated with. e.g. Shelton based employer name

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First Name

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Last Name

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Address1

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Address2

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City

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Zip

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Phone Number

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Is this a Landline?

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Terms

PLEASE BE AWARE THAT PINGTOWN! Shelton IS A FREE SERIVICE - HOWEVER, IF YOU ARE SUBSCRIBING A MOBILE PHONE. YOUR CARRIER MIGHT CHARGE YOU FOR DATA /SMS. No spamming, disparaging comments of any kind no abuse of the system.

I UNDERSTAND AND AGREE

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Questions/Issues:

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