Community Services SurveyStep 1 of 1010%We are a locally owned communications provider based in Pocahontas County since 1963. We’re gathering feedback from area residents to better understand what matters most when choosing an internet and TV provider. By completing this survey, you will receive a $25 gas card from Rolfe Heartland and be entered into a drawing for a free 50” smart TV.Which of the following services do you currently have?Mark all that apply. Internet TV Home Phone None of the AboveWho is your current Internet provider?Have you considered switching Internet providers? Yes NoIf you have not considered switching, what are the reasons?Mark all that apply. Too complicated Too expensive Afraid I'll lose my phone number Unsure of other providers Happy with my current provider Other (please specify):Select AllPlease specify Other:(Required)How familiar are you with Northwest Communications? Very Familiar Somewhat Familiar Not Very Familiar Not Familiar At AllDid you know that a typical bill for internet, TV, and phone service starts at only $120.00 per month?Price doesn't include tax. Yes NoWould you be willing to switch to Northwest Communications? Yes – I would like to APPLY NOW. Yes – Please contact me. NoPlease tell us why you chose No:(Required)Additional Comments or Questions:Here’s what you can expect when you join Northwest Communications:Local employeesLocal tech supportFaster internetStreaming TV providerAbility to keep your current phone numberFree installation on any serviceBill credit for referring friends and familyTo be entered into the drawing for the free 50” smart TV, please provide your name, address, telephone number, and email address below. Your gas card will be mailed to the address below or can be picked up at our office: 844 Wood St, Havelock, IA.Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Δ
