BrilliantCARE™ Enrollment

Please complete the form and select your BrilliantCARE™ plan.

A Brilliant AV service team member will get in touch with you soon!

PLEASE  NOTE: ALL BRILLIANT AV CLIENTS MUST CHOOSE ONE OF THE AVAILABLE PLANS IN ORDER TO RECEIVE SERVICE.

 

Client Name*
Site Address*
My BrilliantCARE Plan Choice*
All clients must choose one of the following BrilliantCARE Plans
Internet Backup*
Service Contact Name
If different from client name
If different from Client Phone
If different from Client Email
Terms and Conditions*
This field is for validation purposes and should be left unchanged.

Please click here to read the full terms and conditions.