New Service Request Form

Call Brazos Communications at 1.800.687.3222 or fill out this form to request service.

* Required fields

New Service Request Form
If you have telephone service with Brazos please provide your number.

Primary Contact Information

Spouse or Secondary Contact Information

Service Address (911) Information

Billing Information

Landlord Information

Type of Business

Membership Information

Businesses Only

Businesses or Residential - Please list any additional authorized

*A copy of the Brazos Telephone Cooperative, Inc. Bylaws and the Brazos Internet Agreement will be mailed to you.