Apply for DISH services with one secure form.
Submit this form and your DISH TV qualification results will appear instantly on the next screen
DISH requires your date of birth and social in order to qualify you for service. This form is encrypted (SSL/HTTPS) for security purposes. Your information is private and secure.
Date of Birth;
Answer this question, please: What is 5 + 1?
Put answer in the box.
(Sorry for asking! Answering this questions prevents SPAM. The answer is 6.)
Check the terms and conditions box, then click the submit button, and you will be contact within 5 minutes (during our business hours). Clicking the submit button will display a review for you.