Apply for Service!

All of Your Services Under One Roof.

New Customer to Corn Belt?

To apply for service with Corn Belt Telephone, all customers are required to fill out a Corn Belt Telephone Service Application.

You can now fill out our Online Service App here on our website.

Existing customers can also use this Online Service App to change services, add autopay or estatements.

For our customers that would prefer to fill out a paper form, 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.

For our customers that are filling out paper forms and would like to sign up for auto pay, please also fill out our Automatic Payment Authorization Form for automatic withdrawal from your checking account or Credit/Debit Card.

CBT Application Forms

For Wall Lake, Lake View and Carnarvon

CBT Application Forms

For Sac City, Auburn, Lytton and Early

Wall Lake, Lake View, Carnarvon Residential Service Application -required for all residential services

Wall Lake, Lake View, Carnarvon 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, Auburn, Lytton, Early Residential Service Application -required for all residential services

Sac City, Auburn, Lytton, Early Business Service Application - required for all business services

 

Automatic Payment Authorization - optional

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

CBT Application Forms

For Wall Lake, Lake View and Carnarvon

Wall Lake, Lake View, Carnarvon Residential Service Application -required for all residential services

Wall Lake, Lake View, Carnarvon 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

For Sac City, Auburn, Lytton and Early

For Sac City Only

Sac City, Auburn, Lytton, Early Residential Service Application -required for all residential services

Sac City, Auburn, Lytton, Early Business Service Application - required for all business services

 

Automatic Payment Authorization - optional

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

Submit Your Completed Forms

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

STOP! SUBMITTED FORMS REQUIRE A SIGNATURE.

If you cannot sign your forms, please complete our online application by clicking the blue button below. Otherwise, continue with the Form Submission Upload below.

Form Submission

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 Wall Lake
Phone: (712) 662-5998 Sac City
Fax:  (712) 664-2083
Email general questions to info@cornbelttelephone.com. For account specific questions or service issues, please call.

Find us on Facebook.

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, Lytton and Early please see our Sac City, Lytton, Early Services Menu.
† For Pricing and Options available in Wall Lake, Lake View and Carnarvon, please see our CBT Services Menu