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Wireless Qualification Form

Please fill in the form below so that we can check wireless availability at your location. Please allow 2-3 business days for us to process your request.

First Name:

Last Name:

Company Name:

Street Address:

City, ST  ZIP:

,  

Telephone:

Email Address:


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