Apply Apply for Service Apply for Service Please complete the form below and a representative with contact you shortly. First Name * Last Name * Proposed Service Street Address * City * Zip Code * Email Address * Phone Number * xxx-xxx-xxxx Type of Service * Residential Commercial Are you a previous Pineland or Southeast Fire & Burglar customer? * Yes No Requested Service (Check all that apply) * Pineland TVPlus Internet Phone Security Computer Maintenance Questions? Comments? reCAPTCHA If you are human, leave this field blank.