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Residential Cable & Internet Application

Fill out the form below to apply for telecommunications services with Independence Light & Power. Please refer to www.ilpt.com for complete service descriptions and our terms of service. Contact us at (319) 332-0100 for additional information or if you have any questions. Thank you!


Your Information


Service Address


Billing Address


Cable Services

$29.95 install fee applies if you only subscribe to one service. Install fee is waived if you subscribe to two or more services.


Premium Movie Channels - Ala Carte


Internet Services

*$29.95 install fee applies if you only subscribe to one service. Install fee is waived if you subscribe to two or more services.

**If you would like our wireless modem, please provide a Network Name and Password.

If not a current utility customer, please complete

**Copy of Photo ID required if not a current customer.**

Upload picture via phone or scanned image.
Files must be less than 6 MB.
Allowed file types: gif jpg jpeg png pdf.
Upload picture via phone or scanned image.
Files must be less than 6 MB.
Allowed file types: gif jpg jpeg png pdf.

Emergency Contact

(First and Last)

Acknowledgement Of Terms

I have read and agree to all terms of service (available on www.ilpt.com or at Independence Light & Power, Telecommunications ) that I have applied for on this application.