Order Services

Thank you for your interest in PMT. We will take the information you provide on this form to verify that we have service available at your address. A PMT representative will contact you within two business days to let you know what services are available and to proceed with your order.

If service is not available at the address you provided, we will contact you to let you know that as well. We will also keep a record of your address to help us when we plan for future expansion. If service does become available, we will use this record to contact you.

Step 1 of 2

Name*
First Last
Email
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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