Please fill out the following form to subscribe to cable modem service.
Name:
(Required)
Address:
(Required)
City:
(Required)
Zip:
(Required)
Day Phone:
(Required)
Night Phone:
(Required)
E-mail:
MCTV account number:
Package desired:
Please choose a package
Mega
Economy
I have a network card:
Residence Status/Business:
I rent this residence
I own this residence
This is a business
Comments or questions:
By submitting this form I agree to Super-Net's Cable Modem Service
Subscriber Agreement
.
Super-Net Inc.
Subscriber-Agreement
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