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CARES Act Internet

We want you to start enjoying your services in your home as quickly as possible. Please provide us with a few pieces of information so we can best help you. We’ll be in touch within two business days. For additional information, please refer to your school for program eligibility and subsidy details.

Your Contact Details:

First Name

Last Name

Preferred Contact Phone Number

Please provide your most current phone number so we are able to contact you.

Email Address

Current Service Street Address

Apt/Unit#

Zip Code

City

State

Do you currently have internet service with Cox?

If you are a new customer, we will contact your school to verify your eligibility. If successful, you will be contacted once processed. If you are a current Cox internet customer and your school has approved a subsidy for your internet service, your subsidy can be applied to your existing account in the next billing cycle.

I am a new customer

I am existing customer

Would you like to be contacted?

No, I'm only registering into the Cares Act Program.

Yes, please contact me to discuss other service options or to review my subsidy information. By selecting this option you agree to allow us to contact you.

I acknowledge and consent to receive the subsidy payment paid by my school. Any additional charges not covered by the subsidy will be paid by me.

eyebrow If use eyebrow, remove from HTML tag, otherwise inside H2.

eyebrow

If use eyebrow, remove from HTML tag, otherwise inside H2.