SMARTIFY APPLICATION SMARTIFY APPLICATION SMARTIFY APPLICATION Name * First Name Last Name Email * Phone Number * (###) ### #### Business Address * Type of Business * High Speed Internet * Do you have High Speed Internet Installed? Yes No Contacted * Were you contacted directly by a Smartify Partner or Representative? Yes No Additional Info Is there anything special we should know about your location? Do you have additional locations? * No Yes, One Yes, Two more locations Yes, Three or more Thank you!