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DSL Loop Qualification Form

Please fill in the form below so that we can check DSL availability at your location. Please allow 2-3 business days for us to process your request. If you enter an email address in this form, the results will be sent via email. If you do not, a staff member will contact you at the listed contact phone number with the results. Note: priority response will be given to forms submitted with email addresses.
There are restrictions on availability.  Please submit the DSL Qualification Form to see if DSL service is available to you.

First Name:

Last Name:

Company Name:

Street Address:

City, ST  ZIP:

,  

Phone No. to Qualify for DSL:   (The phoneline you want to order DSL on.)

Email Address or Contact Phone No.:


Use our online form to contact us.
531 Ft. Riley Blvd., Manhattan, KS 66502   (785) 776-1452
Copyright 2005 KansasNet Internet Services, all rights reserved.
All trademarks, trade names, logos, and service marks referenced herein belong to their respective companies.
Last modified: April 17, 2007