Dish Network Order Form- Al's TV Antenna & Satellites, Dunnellon, Florida

Home	TV Antenna & Satellites Dish Network ORDER FORM

1-352-489-5676
1-866-489-5676

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Please call toll-free at 1-866-489-5676 or fill in the ORDER FORM below. Major credit cards accepted but NO CREDIT CARD INFORMATION IS REQUIRED FOR ONLINE ORDER FORM. A service representative will contact you within 1 business day to verify your order and delivery or free installation information and make payment arrangements.

Contact info (items in red are required):

First Name
Last Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Home Phone
Work Phone
Fax Number
E-mail

DISH NETWORK items being ordered (check all that apply):

FREE DISH - FREE DVR
1, 2 or 3-Room System with DVR
Digital Video Recorder

FREE DISH -
3-Room System

FREE-FOR-ALL -
Connect 1 or 2 TVs

DIGITAL HOME PLAN -
Connect up to 4 TVs

UPGRADE to a Dish DVR 510
Existing customers

UPGRADE to a Dish DVR 721
New or existing customers

UPGRADE to a Dish 6000 HDTV
High Definition TV Receiver!
New or existing customers

UPGRADE to a Dish HDTV 811
High Definition TV Receiver with integrated off-air tuner!
New or existing customers

ADD EARTHLINK DSL to programming package
New or existing customers

Select one:

New DISH Subscriber  Existing DISH Customer

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Specific needs or further information/service requested:

I have read the Dish Network Terms and Conditions
applicable to these Dish Network offers

AL's TV Antenna & Satellites
11928 N. Williams Street, Hwy. 41
Dunnellon, Florida 34432-5824
In the "Triangle Building"
1-352-489-5676 or 1-866-489-5676

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TV Antenna & Satellites

Dish Network ORDER FORM