To expedite your order, please fill out the secure form below and then call us at 1-855-240-6372
so that we can complete your order. Once you submit this form your DISH TV qualification
results will appear instantly on the next screen
. After that we'll just need to hear from you to finalize your order.
DISH requires your date of birth and social in order to qualify you for service (via a credit check). This form is encrypted (SSL/HTTPS) for security purposes. Your information is private and secure.
Date of Birth
Check the terms and conditions box, then click the submit button. Your qualification results will be displayed instantly.