DSL Qualification Form
We must have your zip code to do the qualification.

**** VERY IMPORTANT ****
Service Phone Number is the number that will receive the DSL service.

* indicates required fields 
  *First Name:
  *Last Name:
  *Service Phone Number:
  *Street Address:
  *City, State, Zip:
  Contact Phone:
  email Address:
  *Local dial tone by SBC:
  *Service Requested:
  *Address zip code:
  *I authorize prequalification:  Yes
  Referred by:
  Comments:

After filling the details click on the SUBMIT button.
 

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PO Box 2368
Vacaville, CA  95696-2368

(707) 455-3401
24 Hour Toll-Free Technical Support  (877) 205-5246

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You fully agree to Our Terms of Service, User Agreements, Billing Policies
and any changes that may be published from time to time.


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