Sign Up for Service

Please check one of the following:

This application is for a residence.
This application is for a business.

Please enter your contact information below.
* = required field

Company Name (enter "n/a" if not applicable):
Physical Address:
First Name:
Mailing Address:
Last Name:
Daytime Phone:
Evening Phone:
Best Time to call:

Are you an existing Arkwest customer?


Please check the box next to the services you wish to enroll:

Telephone - Basic Local Service (click for information and pricing)
Basic Local Service

Telephone - Long Distance Service (click for information and pricing)
1+ Distance Service
800 Service
Calling Card
Optional Calling Plans (click for information and pricing)
Intra-Company Optional Calling Plan
Rural Saver Plan
Circle Saver Plan
"1" + Saver 600 Minute Plan
Designated Number Plan
Extended Community Saver
Custom Calling Options (click for information and pricing)
Automatic Call Back
Automatic Recall
Call Forwarding
Call Waiting
Call Waiting-Distinct Ring
Caller ID
Caller ID Blocking (per call)
Remote Call Forwarding
Select Call Acceptance
Select Call Forwarding
Select Call Rejection
Speed Calling 8
Speed Calling 30
Teen Serivce
3-Way Calling
Unknown Number Blocker
Voice Mail Silver
Voice Mail Gold
Digital Television Service (click for information and pricing)
Triple Play Basic
Triple Play Plus
Triple Play Premium
Triple Play Premier
Lifeline (Ala Carte)
Basic (Ala Carte)
Expanded Basic (Ala Carte)
Mobile TV
Double Play Basic
Double Play Plus
Double Play Premium
Double Play Premier
1 Movie Package
2 Movie Package
3 Movie Package
4 Movie Package
High-Speed Internet Service (click for information and pricing)
DSL High Speed Internet Service
I need help deciding
Fiber-To-The-Home Internet Service

I have read the Service Agreement applicable to the services I have checked above and agree to its terms. I understand

that my use of the service(s) offered by Arkwest and/or VALTEC constitutes full acceptance of the terms of use of the

service, the same as if I have individually signed the agreement for service.

©Arkwest Communications. All Rights Reserved.
PO Box 699 • 770 Boston • Boston Plaza
Danville, Arkansas 72833
Tel: 479-495-4260 • Toll Free: 1-888-495-7800 • Fax: 479-495-4288