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Shasta.Com's DSL Service
DSL Service Order
Please input the following information, Shasta.Com will review it and contact you regarding your installation date.
Your Full Name
Business Name
Optional
Your Street Address
Please use address where service will be located
Suite or Apartment Number
Optional
City
Zip Code
Your Telephone Number
Please use telephone number at service address, if you are ordering ADSL, please use a telephone number that is not part of a centrex group or PBX system.
Your E-Mail Address
Referred By (If applicable)
It is necessary to have one of the connections below available for the DSL modem.
Does your computer have USB ports available?
Yes
No
Don't Know
Does your computer have an Ethernet Card installed?
Yes
No
Don't Know
Type of DSL Service you are ordering
ADSL 384k/128k
ADSL 768k/384k
ADSL 1.5Mb/384k
IDSL 144k/144k
SDSL 192k/192k
SDSL 384k/384k
SDSL 768k/768k
SDSL 1.1Mb/1.1Mb
SDSL 1.5Mb/1.5Mb
Reach T1 (384k)
Reach T1 (768k)
Reach T1 (1.1Mb)
Reach T1 (1.5Mb)
Is IDSL service acceptable to you if the product you are ordering is not available in your area?
Yes
No
Payment Method
Bill my existing Shasta.com account
Credit Card
Exp:
