Castles Information Network-DSL Sign Up

Castles DSL Sign Up Form
Modems are typically shipped to customer homes.
Customers having modems shipped to Castles for Customer Will Call and convenience must also pay the standard S&H fee.

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

* indicates required fields

*Last Name on Phone Bill:

*First Name on Phone Bill:

*Service Phone Number:

*Service Street Address:

*City, State, Zip:

Work Phone:

Fax:

*email address:

*Billing Name:

*Billing Address:

*Billing City, State, Zip:

*Payment Method:

*Billing Method:

*Service Type:

*Local dial tone is by AT&T:

Self Install:

I require professional installation:

*I have read and understand terms and conditions:

Yes

*Service Requested:

*I authorize prequalification:

*Equipment Selection:

*I would like the modem:

*I am 18 years or older:

Yes

*I am authorized to place this order:

Yes

*Person completing this form:

*Checking this box acts as signature:

Yes

*DSL Monthly Price:

Current DSL Service:

Referred by:

Comments:

Please click on the Submit button to submit the form details.

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.

PO Box 2368
Vacaville, CA 95696-2368
(707) 455-3401
24 Hour Toll-Free Technical Support (877) 205-5246

By using any services of Castles Information Network,
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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