Current Promotion:
3 Months FREE
FREE Digital Equipment
FREE Standard Installation
FREE Activation
FREE DVR Upgrade
FREE HD Equipment
FREE Warranty
Columbia Basin Satellite Best Promotion Guarantee
Programming & Equipment
Package Select America's Top 100 - $32.99 America's Top 200 - $44.99 America's Top 250 - $54.99 America's Everything Pack - $94.99 Dish Latino - $27.99 Dish Latino Dos - $39.99 Dish Latino Max - $49.99 International - We will contact for details Locals Select Yes - add $5/mo No - add $0/mo
HD Programming Select No - add $0/mo HD Essential - add $10/mo HD Ultimate - add $20/mo HD Only - $29.99/mo
Total Number of TV's Installed* Select 1 TV - Free Equipment add $0/mo 2 TV - Free Equipment add $0/mo 3 TV - Free Equipment add $5/mo 4 TV - Free Equipment add $5/mo
How many TV's do you want to pause and record? Select None - add $0/mo 1 TV - Free Equipment add $5.98/mo 2 TV - Free Equipment add $5.98/mo 3 TV - $99 Upgrade add $11.96/mo 4 TV - $99 Upgrade add $11.96/mo
Internet Select PUD Wireless - 1Meg PUD Wireless - 2Meg DSL - 768k DSL - 3Meg Clearwire - 768k Clearwire - 1.5Meg HughesNet None
*A phone line is required for all 2 TV receivers or a $5/mo access will be applied to each receiver not connected.
Contact Information
First Name Last Name
Phone Other Phone
Email
Installation
Address City
State Select Alabama Alaska Arkansas Arizona California Colorado Conneticut Deleware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massetuchetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tenessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code
Residence Type Select Home Apartment Condo
Billing
Credit Card
Credit Card Type Select Visa Mastercard American Express Discover
Card Number Name on Card
Card Expiration Month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 CVC Last 3 digits on the back of the card or 4 digits on front of American Express.
Credit card is for validation purpose only. No money will ever be charged to the card unless customer approves or early cancellation fees apply.
Social Security Number
Last 4 digits of Social Security Number acceptable if applicant has been at the current residence for at least 2 years. Social Security Number only used for approval process.
Accepts 24 Month Commitment with Free 1 Year Warranty Select Yes
Comments
All customers will receive a phone confirmation for programming, pricing, and installation time. Installation times are usually 24 to 48 hours from time of contact with customer.
