VELOCITY DSL Online Order Form Before you order please go to our VELOCITY DSL Packages page to make sure you are ordering the right plan for you. We run various DSL promotions throughout the year that will save you money on installation, modem and monthly service fees. (Check back frequently for more promotions.) Please read the minimum computer requirements before submitting this form. Please fill out all the fields it will result in a quicker install. Instructions: Complete this form. Click the 'Submit' button. Fields marked with * are required fields. Thank you. Customer Information   Your name / name on account: *    Your mailing address / address on account: *  Your physical address if different then above  City *                         State*                     Zip *                              Phone number to put new feature on * 676 675  -    prefix    -  last 4 digits VELOCITY Packages available for online ordering Velocity DSL Residential 128K/64K $19.95 1.5MB/512K $29.95 4MB/1MB $49.95 Velocity DSL Business 1.5MB/512K $34.95 4MB/1MB $59.95 Computer Hardware Number of Computers: * Type of Computer: PC MAC Other Age of Computer: Less than 1 year 2 - 5 years 5 years or Older CPU (Need at least Pentium II): * RAM (Need 32M): * Have you Had DSL Before? No Yes     If Yes do you have an Internal ADSL modem? No Yes Does you computer have   Ethernet  USB   Both   Netiher     If Both which would like to use for the DSL connection? Ethernet USB Computer Software Operation System Windows Version Win 95 Win 98 Win ME Win XP Win NT/2000   MAC   OTHER Internet Serive Provider No Yes  If Yes Provider: Access Montana Other Is the jack at the computer site? Yes No   (If no RTC can install a Jack for $9 Materials and Labor billed at $25.00 1st qtr hr, $5 each additional qtr hr.) PHONES: How Many Phones: * Satellite : Yes No FAX: Yes No Alarm System: Yes No Cable TV: Yes No Out Buildings: Yes No Back to Top