Internet Form

This order form can be used to order up to 4 DSL services and one cable service for both residential and business installs. If at any time you require assistance, please feel free to call us at +1.604.629.8338 and press 1 for sales.

After you submit the order form, you will receive a document ID. Please make a note of it. We can reopen your order using that number.

Dry ADSL is ADSL installed without a physical phone line with dialtone.

The following scenarios are possible:
  • If you have a physical phone line (not part of a hunt group) that you would like to install DSL on, Dry ADSL should be unchecked and the phone carrier should be entered
    • If the carrier is Telus, the phone number should be entered.
    • If an alternate carrier is used, we require the loop identifier which they can provide you.
  • If you have a phone line by an alternate VoIP carrier (such as Shaw) proceed as if you have no physical phone line.
  • If you have no physical phone line, Dry ADSL should be checked, and no Carrier or Phone Number is required.


Primary Contact: (Signing / Billing)

Secondary Contact: (Site / Technical)

Physical Address:

Billing Address:

Services Information:

ADSL Services:


Cable Services:


Total Fees:

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