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.

Forms require a signature.  If you do not have a way to print, sign and scan your completed, signed forms, please mail them to us, drop them in our night drop on the front right of our building by the alley, or fax them to us at 712-664-2083.  If you can print and scan your signed forms, you can upload them using the "Submit Your Forms" option on the bottom of this page.

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

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