Okanagan.net, Kelowna internet access, Kelowna ISP, BC hosting

Residential 1.5 Mbps High-Speed DSL Sign-up Form

Customer Information

First name:

Last name:

Business name:

Street Address :

City:

Postal Code:

E-mail:

**Installation Phone:

(eg. 250-555-1212)
** MUST be the phone number the service is going to be connected to.

Contact Phone:

(ie. cell phone, work, etc.)

Account Information

Account Plan:

	12 month plan - $30.95/month plus taxes. ($25.95/month for first 3 months) *Includes FREE modem.
	Month-to-month plan - $35.95/month plus taxes. *modem not provided

Payment Method:


			Void Cheque

Comments/Inquiries:

Questions? Comments?
Send your Email to support@okanagan.net

Okanagan.net
Suite 201 - 1974 Moss Court, Kelowna, BC V1Y 9L3
Phone: 250 - 860-2699 Fax: 250 - 763-2964
Email: support@okanagan.net