Quincy CA, Feather River Apartments DSL Sign Up Form

 

Sign up here for

1-3Mbs DSL Download

512Kbs upload DSL Service at your apartment

Here

 

apartment photo

view of the Feather River Apartments
Your Card will be charged only after a technical rep calls to arrange installation.

Charges are.....

Service Cost 24.95 to install and

29.95 per month

  

Complete the following information a technician will arrange service ( Your card will not be charged until you approve the service.       *=Required

*Name As you would like to appear on your bill. ex.Sarah Jones

*Who we should talk to about your account.     Nameex.Sarah

*Who we should email info about your account: Email (Always private!)

Cell phone we should call if needed...

Where we should send a copy of your invoice to.
           
    *Street

 

    
    *City      
    *State      
    *Zip      
    *Phone      

Tell us which apartment your connection should be connected at..
           
    *Apt

 

    
    City    
    State    
    Zip    
    Apartment phone    

Please Choose a User Name and Password to log into your account
           
    *User Name

 

    
    *Password      

Billing Account information

           
    *Social Security Number

 

    
    *Date of Birth      
    *Drivers Lic No.      
    *Credit Card ####-####-####-#### (will not be charged until your service is running)      
    *Expire Date MM/YYYY      
    *Card Code from Front or Back of card      
    *Name On Card      

 

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