Customer Information First Name: Last Name: Email Address: Account Login / Username: Service Street Address: Service Area: Clover Fort Mill Heath Springs Lake Wylie Lancaster Rock Hill York 10-Digit Daytime Phone #: Your Operating System: Windows 98 Windows ME Windows NT Windows 2000 Windows XP -------------- Mac OS9 Mac OSX -------------- Other Problem Information Type of Problem: Can’t connect to Internet Internet drops out Slow Internet connection E-mail problem Virus/spyware problem Modem light out Other Internet troubles Out of service What Error Message(s), if any, are you receiving? Please Give a Detailed Description of Your Problem:
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