Please fill out the form below to request a virtual survey with Ethoplex Internet Submitting this form does NOT sign you up for service, it simply allows us to check your address for serviceability. COS Rep Name COS Rep Email COS Rep Direct Phone Number Customer Address Customer City Internet Type Temporary AsymmetricalTemporary SymmetricalBackup AsymmetricalBackup SymmetricalBest Effort Asymmetrical (Small Biz Plans)Best Effort Symmetrical no SLA, but CheaperDedicated Symmetrical with SLA Current Internet Provider Please leave this field empty. Δ