Sign Up – Connected MHA

In addition to filling out the below form, you can also print out and turn in to the MHA leasing office or email it to info@connecting-mha.com

Name

First

Last

Address

City

Zip Code

Home Phone

Mobile Phone

Email (if you have one)

Please Check Below

I am interested in participating in the Connecting MHA program and understand that I will have access to free internet service for three years when it becomes available in exchange for participating in online energy education quarterly. The online education I am signing up for will be available on connecting-mha.com and may include watching a short video and/or reading an article and filling out a survey every three months. The whole process will take between 15 and 30 minutes.