Net Star Telecommunications

505 Julie Rivers Drive Suite 170

Sugar Land, TX. 77478

Phone: 281-240-7600  Fax:

 

 

DSL REQUEST FOR ISP SERVICE   
 (FAX: 281.240.7377, EMAIL OR
MAIL TO : SALES@NETSTARTELCOM)

 

Date:                                                   

Company Name:                                                                                                           

Contact Name:                                                                           Position:                                

Address:                                                                                                                                              

City/State/Zip:                                                                                                                                     

Business Phone:                                                             Email  ____________________________

DSL LINE Phone:                                                         

Fax:                                                                 

 

o  BUSINESS                                                                        o RESIDENTIAL

LINE SERVICE       

DSL w/o ALLTEL Internet

IP Address

  o  DSL Light

  o  Dynamic

  o  DSL Tier 1

  o  Dynamic

o  DSL Tier 2

o  Static      Quantity (          ) 

o  DSL Tier 3

o  Not Sure Please Call

 

o I HAVE ALREADY FAXED MY PAPER WORK TO ALLTEL.

o I HAVE NOT FAXED MY PAPER WORK TO ALLTEL AT THIS TIME.

 

IMPORTANT:

This is only a request for services from Net Star Telecommunication. Once you have placed
 your order with Alltel please notify us and we well set up your billing for ISP Service with
Net Star Telecommunications. Please fill out and fax to:

Fax: 281.240.7377 attention online sales department

 

 

NO COVER SHEET NEEDED