Apply for Service!

All of Your Services Under One Roof.

New Customer to Corn Belt?

To apply for services with Corn Belt Telephone, all customers are required to fill out a Corn Belt Telephone Service Application.  For our customers that would like to sign up for auto pay, please fill out our Automatic Payment Authorization Form for automatic withdrawal from your checking account or Credit/Debit Card.

All forms are available below.

Please return your completed forms, along with your one time deposit to us at our office, in our night deposit located on the front right of our building by the alley, upload your forms using the "Submit Your Forms" option on the bottom of this page or fax them to 712-664-2083.

Alternatively, you can now fill out our Online Service Application here on our website.

CBT Application Forms

For All Areas EXCEPT Sac City

Sac City Application Forms

For Sac City Only

Corn Belt Telephone Residential Service Application -required for all residential services

Corn Belt Telephone Business Service Application - required for all business services

 

Email Registration - for Internet customers that want to take advantage of up to 5 free netINS.net email addresses

Automatic Payment Authorization - optional

Account Update Form - required for existing customers that wish to add a service, move services to a new location, or add an authorized user

Fill this form out prior to CBT burying Fiber to your home/business.

Corn Belt Telephone Fiber Request Form- required for all Sac City customers prior to CBT burying Fiber to you home or business.  You can fill out this paper form and return it to us, or this eForm and submit it online.

Fill these forms out when you are ready to activate service.

Sac City Residential Service Application -required for all residential services

Sac City Business Service Application - required for all business services

Automatic Payment Authorization - optional

CBT Application Forms

For All Areas EXCEPT Sac City

Corn Belt Telephone Residential Service Application -required for all residential services

Corn Belt Telephone Business Service Application - required for all business services

 

Email Registration - for Internet customers that want to take advantage of up to 5 free netINS.net email addresses

Automatic Payment Authorization - optional

Account Update Form - required for existing customers that wish to add a service, move services to a new location, or add an authorized user

Sac City Application Forms

For Sac City Only

Fill this form out prior to CBT burying Fiber to your home/business.

Corn Belt Telephone Fiber Request Form- required for all Sac City customers prior to CBT burying Fiber to you home or business.  You can fill out this paper form and return it to us, or this eForm and submit it online.

Fill these forms out when you are ready to activate service.

Sac City Residential Service Application -required for all residential services

Sac City Business Service Application - required for all business services

Automatic Payment Authorization - optional

Pre-Register for Sac City Fiber Services!

Know that you are going to want service? Fill out this quick online form requesting that we bring Fiber Optic Services to your home or business! There's no contract to sign, and no cost to you for us to bury to your location, as long as we can get you on our way!

Submit Your Completed Forms

You can upload your completed forms using the Form Submission below.

Click or drag files to this area to upload. You can upload up to 5 files.
Attach your completed Service Application and Forms here.

Our Contact Info

Corn Belt Telephone Office Hours
Monday-Friday
8:00 am - 5:00 pm - OPEN
(12:00 pm - 1:00 pm - CLOSED for lunch)

108 Main Street
PO Box 445
Wall Lake, IA 51466

Phone: (712) 664-2221
Fax:  (712) 664-2083

 

Email questions to info@cornbelttelephone.com

Local and Dependable Since 1961

Call Now!

712-664-2221

* We have adopted these policies in regard to our services.
* * For Pricing and Options available in Sac City, please see our Sac City Services Menu.