Sign Up – Connected MHA

Free Internet Sign Up Form

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.