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Residential Service

English Sales & Support: 866.481.2556
Spanish Sales & Support: 800.982.5307

Business Service

Business Support: 855.632.3154
Business Sales: 844.560.2556

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How can we help?

Name*

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Address*

Street Address Address Line 2 City State Zip

Phone*

Please do not include a '1' at the beginning of the phone number.

Email*

Preferred method of contact*

Phone

Text

What can we help you with?

New Address*

Street Address Address Line 2 City State Zip

Expected Move Date*

Note: Please allow 5-7 business days.

Do you rent or own?*

Rent

Own

Apartment / Complex Name*

Landlord Name

First Last

Landlord Phone Number

Please do not include a '1' at the beginning of the phone number.

Do you want to make any changes to your current services?*

Yes

What service changes would you like to make?

Please verify your previously chosen account security question*

Security question answer*

Note: This form must be submitted by the existing account owner using the existing account email.

Effective Date*

Please verify your previously chosen account security question*

Security question answer*

Current Account Holder Forwarding Address*

Street Address Address Line 2 City State Zip

Current Account Holder E-Signature*

Date*

New Account Holder Name*

First Last

New Account Holder Phone*

Please do not include a '1' at the beginning of the phone number.

New Account Holder Email*

New Account Holder Billing Address

If different from existing account.

Street Address Address Line 2 City State Zip

Please choose your New Account Holder security question*

Answer to New Account Holder Security Question*

New Account Holder E-Signature*

Date*

Please verify your previously chosen account security question*

Security question answer*

What services would you like to change or upgrade?

Internet

2.3 GIG *

1 GIG

500 Mbps

50 Mbps

ALLO Blast Router ($0/month)

ExperienceIQ ($5/month)

Bark ($10/month)

ExperienceIQ and Bark ($12/month)

ExperienceIQ helps you to enforce the internet rules you've established for your home. Set up profiles for each person or device, establish time limits, filter content, websites, and applications. Learn More.

Bark helps protect your children online and offline with comprehensive parental controls and social media monitoring. Learn More

* 2.3 GIG not available in all markets

* Access to MAX included with HBO. Watch all your favorite iconic series, award-winning movies, fresh originals, and family favorites. And, Discovery+ is now included with the MAX app.

** Note: There is a one-time annual charge of $49 for this channel.

Phone

Add Phone Options

Request a new landline telephone number

Battery Backup ($3/month)

Voicemail

Unlisted Phone Number ($3/month)

Additional Phone Line ($10/month)

Transfer an existing number

Existing Phone Number*

Please do not include a '1' at the beginning of your phone number.

Existing Phone Provider*

Phone Number to be Disconnected*

Please do not include a '1' at the beginning of the phone number.

College Student Upgrade Promotion

If you are eligible for the college student upgrade promotion, please check the box below and use the file upload to provide a copy of your student ID.

Yes, I am a current student

Student ID Upload

Please upload a copy of your student ID. We will use this to verify your upgrade promotion eligibility.

Max. file size: 3 MB.

Effective Date*

Note: If this changes requires a technician dispatch, our team will contact you to schedule the dispatch and confirm your effective date.

Comments

Please verify your previously chosen account security question*

Security question answer*

Tell us how we can help you with your billing question*

If you prefer to get more hands on with your troubleshooting – check out our support site for instructional videos and information on common service issues. If you need more immediate assistance from our team, please give us a call at 866.481.2556.

Which services are affected?

Internet

Phone

How long have you been experiencing this service trouble?

Please describe the problem.

We’re sorry to see you go! Please let us know your reason for leaving ALLO.*

Do you have ALLO phone service?*

Yes

Will you be transferring your phone number to a new provider?*

Yes

Phone number to be transferred*

Please do not include a '1' at the beginning of the phone number.

Date of transfer*

New provider name*

Effective date of service disconnect*

Address for final bill*

Street Address Address Line 2 City State Zip

Please verify your previously chosen account security question*

Security question answer*

Equipment Return*

I acknowledge that my ALLO equipment must be returned to the local store within three business days to avoid any additional fees.

*Note: If you reside in an apartment complex, you may be able to leave the ALLO equipment in the unit. Please check with your landlord.

Please tell us how we can help you*

Interested in the Business Work from Home Bundle?

Please fill out the fields below, choose "Other" from the drop down and let us know you're interested. A member of our team will be in touch soon.

Business Name*

Business Address*

Street Address Address Line 2 City State Zip

Contact Name*

First Last

Contact Phone Number*

Please do not include a '1' at the beginning of the phone number.

Contact Email

Preferred Method of Contact*

Phone

What can we help you with?*

New Address*

Street Address Address Line 2 City State Zip

Expected Move Date*

Note: Please allow 10-14 business days.

Do you want to make any changes to your current services?*

Yes

What changes would you like to make?*

Note: This form must be submitted by the existing account owner using the existing account email.

Effective date*

Current Account Holder Forwarding Address*

Street Address Address Line 2 City State Zip

Current Account Holder E-Signature*

Date*

New Account Holder Name*

First Last

New Account Holder Phone*

Please do not include a '1' at the beginning of the phone number.

New Account Holder Email*

New Account Holder Billing Address*

If different from existing account.

Street Address Address Line 2 City State Zip

Answer to New Account Holder Security Question*

Question: What is the date of establishment for your business?

Current Account Holder E-Signature*

Date*

What services would you like to change or upgrade?*

Tell us how we can help you with your billing question*

Which services are affected?*

Internet

Phone

How long have you been experiencing this service trouble?*

Please describe the problem*

We’re sorry to see you go! Please let us know your reason for leaving ALLO.*

Do you have ALLO phone service?*

Yes

Phone number to be transferred*

Please do not include a '1' at the beginning of the phone number.

Date of transfer*

New provider name*

Effective date of service disconnect*

Address to send your final ALLO bill*

Street Address Address Line 2 City State Zip

How will your ALLO equipment be returned?*

Request to schedule ALLO technician pickup

Return to ALLO store within three business days

Please tell us how we can help you*

Name*

First Last

Address*

Street Address Address Line 2 City State Zip

Phone*

Please do not include a '1' at the beginning of the phone number.

Do you rent or own?*

Rent

Own

Apartment / Complex Name

Landlord Name

First Last

Landlord Phone

Please do not include a '1' at the beginning of the phone number.

What services are you interested in?*

Internet

Phone

Preferred method of contact

Phone

Additional information

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What services would you like to change or upgrade?

Interested in the Business Work from Home Bundle?