DSL Service Request Form

General Information
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Service Information    New    Upgrade
   Yes    No
By checking ‘No’ your DSL service will be installed on the phone number in the General Information section.
 (830)   - 

Please check one item below and fill in the requested information.

NOTE: User Name and Password must be 5-10 characters long, are case sensitive and cannot contain spaces or special characters like ‘&’, ‘*’, or ‘!’. Select a user name relevant to you, e.g. Tom Smith might choose ‘tsmith’. Your password keeps others from viewing your e-mail, so keep it secure and donít share it with anyone.

Please select the connection speed you want.
Not sure? Watch a DSL speed demo.

Cost per Month Bronze
Upstream 128 kbps 256 kbps 384 kbps 768 kbps 1 Mbs
Downstream 256 kbps 768 kbps 1,500 kbps 3 Mbps 6 Mbps
Additional Information    Yes   No
   Yes   No NOTE: The $100 installation charge is waived if the customer commits to retain the service for a period of one year. The charge will be applied if the service is disconnected for any reason during the first 6 months period.

Yes   No   view policy