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zNET Wireless High Speed Internet Access
Address Qualification Form
Please fill out this information to see if your address qualifies for Fixed Wireless Service.

Service only available in San Diego County and Ontario, CA at this time.
(Items with a * are mandatory to qualify your address.)

Name:
Business Name:
*Contact Phone:
Fax:
*Street Address:
*Location Phone:
*City:
*State:
*Zip:
*E-mail Address:

Local Phone Company:

    Pac Bell
    GTE
    Pac West
    Other / Don't Know

How many workstations do you want connected to the Internet:

Best way to contact you with availability and prices:

email phone fax

What speeds are you interested in:

What type of connection do you have now:

*How did you hear about zNET:

Any other questions or comments?


This information will be used by zNET only.
We will never sell your contact information to others.




About availability: Our "Wireless T1" promotion is provided in partnership with Sky River Communications, a wireless network vendor. Although Sky River is rapidly deploying this exciting new service throughout the county it is still not available in all areas. Our special discounts and promotions only apply to services provided by their network. In those cases where Sky River wireless is not available our representative will investigate other Internet connection alternatives that may not include the same speed, price, or promotional offer. If desired we will take your information and contact you when Sky River's service becomes available in your area.


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© 2002 zNET Internet Services, Inc.