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.
 


ATTENTION DSL CUSTOMERS
When signing up for any VoIP Service
DO NOT transfer your phone number that carries your DSL service.
Doing so automatically ports your number to the VoIP carrier and you will lose your DSL.

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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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and any changes that may be published from time to time.


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