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DSL Qualification

Welcome to ACD.net Springfield.net Wireless Pre-signup!

Here at ACD.net we are committed to provide you with the best possible service and bring you the latest in cutting edge technology. We expect to be turning up wireless service to Springfiled Mid-June 2008.
Please note that this is only a request and you will not be billed! We will contact you regarding wireless as it becomes available, inform you of pricing plans and more information on DSL!

Profile Information
Surname: Mr. Ms. Mrs. Dr.
First Name* Please fill in all form fields. We will not process incomplete forms
Last Name*
Company  (if applicable)
Address*
City:*
State
Zip Code*
Your Main Phone Number:* () - 
Daytime Phone Number: () -
E-mail:
Will this account be used for commercial or residential use? Commercial
Residential
How many workstations do you plan on connecting?
What is your current connection type?
How did you hear about ACD.net?
By submitting the above information I hereby give ACD.net permission to check the my Telco records with SBC/Ameritech. We will not make any changes to your phone service nor record any information for further use.



 

*Denotes required information.

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