Internet_Request

DTS Technology - Internet Request Form

***IMPORTANT, PLEASE READ... If the customer already has internet, we cannot get them internet from the same provider. Example, the customer has Cox internet already and they want faster speeds from Cox, since they already have an account with Cox, we cannot do anything for them unless they move to another internet provider.

Business Name

Business Address - PLEASE SUBMIT ACTUAL STREET ADDRESS!

Business Contact

Business Contact Method (Please enter contact number and/or email address)

What are they looking for? Check all that apply.

Faster Speeds Lower Costs Another Provider

Do they currently have internet service?

Yes No

If yes, who is their internet provider?

If other, who is their internet provider?

It is critical we have a copy of the internet bill so we can see the options they have and their current cost. Please include a copy of the bill with this form.

Please attach a copy of the internet bill

What is your name?

What is your email address?

Who are you working with?

David Pegram Steve Zhekov Troy Elm

Additional Comments