MIDTEL NET - Broadband

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Internet > Broadband > Prequalification

MIDTEL NET DSL Prequalification Form

Thank you for your interest in MIDTEL NET Broadband. A few pieces of information are needed to determine if we can deliver DSL to you. Please complete the fields below. The phone number you list MUST be the phone number where DSL service is to be installed. Fields with a red asterisk ( * ) are REQUIRED and may not be left blank.

We will contact you within 2-4 days via email with the results. Should you have additional questions, please list them in the COMMENTS box below. If you would like us to contact you via phone, please list a daytime telephone number in the COMMENTS box as well.

Your Name *

Street Address *

Phone Number DSL Will Be Installed On *

E-mail Address *

Additional Comments or Questions

Click "Submit" to process your request.

Once again, thank you for your interest in MIDTEL NET DSL.

Introducing Savings by Design

Our popular Savings Plans have been changed, offering you the ability to customize them to suit your lifestyle and budget. There is no better time to give them a look! You can now choose the quantity of Long Distance Minutes, the type of Cable TV Service, and the level of your High Speed Internet Service.

Mix and Match at least Three of our services and start Saving!

MIDTEL E-Z Pay

STOP WRITING CHECKS and start using MIDTEL E-Z Pay, the easy way to pay!

Are you tired of writing the same checks over and over again each month? The Middleburgh Telephone Company and our family of companies want to help you change this. By subscribing to our MIDTEL E-Z Pay Program, you won't have to write another check for your monthly payments.

Inside Wire Maintenance

Eliminate the worries of wiring... When you add the Wire Maintenance Plan to your CABLE TV service you just pay a small monthly fee of $2.00 and if anything should happen to your inside wiring, we'll fix it fast, without a service charge. To take advantage of this offer you can download our form online or contact one of our customer service representatives.