Cottage, Home and Business Highspeed Internet for Rural and Remote Communities


Name
Email Address
Mailing Address
City
Province
Postal Code
Home Phone
Alternate Phone
Physical Address (if different than above)
If service is available at your location do you authorize our technician to complete the installation?	Yes No
Number of computers to be hooked up
Do you require additonal computer support?	Yes No
If yes, check those that apply.	Network Setup Computer Maintenance Anti-Virus Software New Computer Purchase Website Hosting Other
Comments and Questions