Please fill out the entire form the best to your ability
Are you currently a Dish Network Customer?
Please Choose
Yes
No
*required
This form is for people interested in subscribing for the DISH Network Service. Thank you.
Residential or
commercial?
Please Choose
Residential
Commercial
Not Sure . . .
Current TV provider:
Please Choose
Cable
DIRECTV
Verizon
None
other
DISH Network
*required
Please Call Me :
-
-
*required
extension:
Alt number:
-
-
*optional
extension
:
Email:
private.
Name please:
optional
Location:
optional
Best Time :
ASAP
Later
Please try to be available
If it is after business hours your request will be documented and returned first thing the following day. If we must call next day any notes about when will be helpful.
Programming:
DVR, Digital Video Recorder
HD, High Definition
HD & DVR service
I want to DVR my HD programming
I only need standard equipment
I have a special request
Equipment:
Standard Programming
I love movies!
International Packages
I'm a huge sports fan
I only need stanard equipment
I have a special request
Notes:
Please help us with a few additional questions
that will help us better serve you
Search Engine
Please Choose
Google
Yahoo!
MSN
Ask
Aol
I typed in the URL
Other
What did you
search for?
Please type the keyword or phrase you search for that brought up our site.
chasque aquí para esta forma en español por favor.
IMPORTANT
Please put the answer in the box below.
This is for security purposes only
1+6 =
NOTICE:
Our number will appear as "Unknown" or "Unavailable" on some caller IDs. This is due to our phone systems. Please be on the lookout for our call.
Commitment to privacy
Be confident in knowing that Satellite Solutions will never share this or any of your info with anyone EVER.
This information will be used ONLY to help you get set up with DISH Network and answer any questions you might have.
No Pressure! We'll call you!
We'd Be Happy to call you and discuss all of your concerns and help you sign up!
Enter your number into our form . We will absolutely NEVER share this info with anyone.