CenturyTel DSL in Scappoose, Oregon- opus:interactive

CUSTOMER INFO

* Your Name:

(as it appears on phone bill)

Business Name:

(if applying for business DSL)

E-Mail Address:

Who Referred You?:
(enter their email address)

* DSL Service Address:

City:
State:
Zipcode:
(Is your shipping address different than your mailing address? Yes.


TECHNICAL INFO
* DSL Service Phone Number:
* Daytime Contact Phone Number:
* Computer Operating System:
* Billing Term Option:
* Yearly Service Contract Terms:	By submitting this form Customer agrees to the terms and condition in this Yearly Service Contract YEARLY SERVICE CONTRACT ONE (1) YEAR SERVICE CONTRACT: TERM: One (1) year from date of service activation. CANCELLATION: In the event of a cancellation of this Agreement prior to the end of the agreed contract term, opus:interactive will enforce a $150 cancellation fee, payable by credit card, at the time of the cancellation. A 30 day written notification is required for cancellation of all contracted services prior to the end of the term agreement. SERVICE UPGRADE: Customers may upgrade to other services offered by opus:interactive without penalty. TERMS of SERVICE: All terms of service apply, for more information please visit http://www.opusinteractive.com/tos.
* Desired Plan: click here for pricing
* Desired Hardware: click here for features
Email Virus Scanning: click here for details
Do you want content filtering? (residential customers only) What is content filtering?	Yes - $4.00/month No
* Desired Primary Email:
Alternate Primary Email:
Desired Secondary Email:
Alternate Secondary Email:

OPTIONAL INFO
Comments:

Special Code: (optional)	(i.e. Discount, Partner, or Referral Code.)

Order Details

It can take up to 5 business days for us to get a line qualification for DSL on CenturyTel phone lines. We will notify you as soon as we are notified of qualification or non-qualification. If you do qualify the order will be fulfilled. Either way you will be contacted by opus:interactive to let you know your qualification status within 5 business.
By filling out this form, you are agreeing to the DSL order and all charges associated with it.
Pricing and availability subject to change.