Pre-Order DSL

When you fill out this form, you are making NO commitment to order any service. The information you provide us will only be used to qualify your phone line and/or address for DSL services. A FastQ representative will contact you before any order is placed.

Contact Information:
Name:
Address:
City:
State:
Zip Code:
Telephone Number:
Alternate Number:
E-Mail Address:

DSL Speed and IP Address Information:
What kind of computer do you have?


What type of DSL account do you want?

Please Note:

FastQ's prices do not include the cost of the DSL service added to your phone line. You will be charged on your regular phone bill from Qwest for the service.
All DSL accounts come with up to 8 dynamic IP addresses for your computer(s) and three email address.
Additional IP addresses and Static IP addresses are available at additional cost.

Would you like static IP addresses, check the box for the amount you need?
	4 IP Subnet
	8 IP Subnet
	16 IP Subnet
	32 IP Subnet
	64 IP Subnet
	None (Dynamic IP addressing, Recommended)

If you have a Qwest phone line, has it already been tested for DSL service?
	Yes.
	No.

Enter the phone numbers you would like to order DSL service on.
There are three places in this list to enter phone numbers, only one will have DSL added to it. Sometimes phone lines do not qualify for DSL service, if the first number you enter does not qualify and the second does, the second will be used for the DSL service. Please enter the phone numbers in the order of priority you would like to add DSL to. Qwest will check for DSL compatibility on these number(s) and install on the first line that qualifies.
LN1:
LN2:
LN3:


Special Instructions:

Tech Support
24 Hour Assistance

Subscriber Toolbox
Quick links

National Dial-Up
Connect from Anywhere

Referral Program
Spread the Word

Pre-Order DSL

Contact Information:

DSL Speed and IP Address Information: