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First Name*
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Last Name*
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Primary Phone Number* (
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Alternative Phone Number (
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Street Address*
(no PO BOX) |
Unit, Lot, or Apt Number
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| Is your billing address the same as the address above? |
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Email*
This is used to send a confirmation email. We will not SPAM you. |
Social Security Number *
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last four only)
If you've lived at your address for more than 1 year, we can use just the last four of your social. Just click the "last four only" checkbox above. |
| About your social ... You have elected to only provide the last four digits of your social. If you've lived at your present address for MORE than one year (12 full months) than many times this is not a problem. However; in order for your application to be processed we must be able to match a credit file to your social. If you have not lived at your address for more than one year, or are close to one year, please provide all nine digits of your social. This site is secure, and your information is transmitted over an encrypted connection. Thanks! |
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Credit Card # *
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Do you own the residence?*
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| Renters Notice: If you are currently renting, you will need to provide a "letter of permission" to the installation technician when he arrives. This can be a simple document provided to you by the landlord, or the property manager. Please call us immediately if you anticipate this being a problem - it usually isn't. |
| When would you like to have your new system installed? |
Day
Tech Arrival
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| Your first install choice may not be available. Select a backup. |
Day
Tech Arrival
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Do you have a Promo Code? (optional) |
Please answer this security question* 1 + 5 =
(This helps prevent SPAM. The answer is 6) |
| How many TVs would you like to get connected with service?* |
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| How many of your TV's are High Definition TVs (HDTV)?* |
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| Which programming package would you like to start off with?*
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| Would you like to add your locals (ABC, FOX, CBS, etc.)? |
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| Do you have land-based, home phone service?* |
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| We have a suggestion: Without home phone service, then we recommend going with the DVR service. The equipment upgrade is free. The configuration you've selected, so far, requires a $5 monthly charge for TV two. But, if you select the DVR service (which is also $5 per month) Dish Network waives the $5 fee for TV two. It works out to be the same price either way, but selecting the DVR ensures you get a better value for your dollar. |
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Would you like DVR (Digital Video Recorder) service?*
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| HBO and Showtime are free for the first 3 months. You can cancel them at any time without penalty. |
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| Would you like to put your account on credit card / debit card AutoPay (paperless billing)? |
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Are you also interested in International Programming?
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| International Programming: You have selected
, for International Programming. If you know the name of the package, or the specific channels you'd like, please put that information in the account notes. You will be contacted by an International Programming representative after you place the order. If you have selected this by mistake, please select "No" in the question above. |
Please review your package below |
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Below is your equipment configuration:
Primary TV (1)
100% Digital
1 Remote
Television (2)
100% Digital
1 Remote
Television (3)
100% Digital
1 Remote
Television (4)
100% Digital
1 Remote
1 Single Tuner Receiver, (ViP 211k)
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The programming package you've selected is called:
The Classic Bronze 100
Classic Bronze 100 ($19.99)
+ HBO & SHOWTIME - FREE for 3 months! ($66 value)
Your Monthly Bill will be $19.99 per month + tax
for the first 12 months. After 1 year you'll pay the regular price or $34.99 per month + tax.
Please enter any order notes below
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tips & equipment notes
Dual Tuners are multi-room receivers that operate two televisions. Both TV (A) and (B) can watch different channels at the same time. Each TV gets its own remote control.
Dual Tuner DVR's are multi-room receivers that operate two televisions. Both TV (A) and (B) can watch different channels at the same time, and can each perform DVR functions separately. You can record two things at once, and watch up to two recorded programs simultaneously! Each TV gets its own DVR remote control.
HD Dual Tuners are multi-room receivers that operate two televisions. Both TV (A) and (B) can watch different channels at the same time, but only TV A will be able to watch HD programming. TV B will receive standard definition programming. Each TV gets its own remote control.
HD-DVR Dual Tuners are multi-room receivers that operate two televisions. Both TV (A) and (B) can watch different channels at the same time, and can each perform DVR functions, but only TV (A) will be able to watch HD programming. TV B will receive standard definition programming. Both TVs can record HD programming simultaneously. Each TV gets its own DVR remote control.
The ViP 612 receiver is a single-TV, HD-DVR. It can watch and record both HD and Standard Definition (SD) programming. This is a single-TV dual tuner, meaning you can record one thing while watching something different on live TV! Both tuners can record HD and SD programming. This receiver comes with 1 DVR remote control.
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