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  Please Fill Out All of These Fields
In order to Pre-Qualify you for DSL we will need: The telephone number of the location you wish to qualify; this is needed to determine which central office the location is connected to. We also need the address of the phone line you wish to qualify; this is used to determine the distance from the central office.  In addition, we will need your name and e-mail address so we can let you know the results.

NOTE: Please make sure that your phone line is provided by SBC, DSL will not function with other telephone carriers.

Last Name:


First Name:


Street Address:

(Second Line Optional)

City:


State:


Zip Code:


Qualification Number:
(Phone number to be qualified for DSL. This line must be a SBC provided line.)


Contact Phone Number:
(Phone number by which we can reach you.)


E-mail Address:


When the results are available I would like to be contacted by:
E-mail
Phone



(Please click "Submit" once.  When you see the confirmation screen your information has been received successfully by 99main.)

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