SuperVisions Cable TV  

   

Alaska's Cable TV & High Speed Internet Provider for Whittier and Tanana  

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Residential New Service Information and Signup


Please complete the simple form below to get great rates on your Local, Long Distance and Internet! Once you complete this form your information will be processed and one of our YUKONTEL Customer Representatives will contact you at the time you request (within business hours).

Thank you for choosing

  YUKON TELEPHONE & SUPERVISIONS HIGH SPEED INTERNET!


Customer Information


First Name:
Last Name:
Phone Number: (@ Location of Service)
Contact Number (include ext.):
Email Address:
Identification:
Current Phone/Internet Account #
Current Cable Account #:

Billing and Service Addresses


Service Address:
Billing Address:
City/State/Zip: #
City/State/Zip: #:

Information and Service Requests


Products: Information: Sign - Up:

 
Local Phone Service:
  Basic Service    
Package 1
Package 2
Package 3
Package 4
Long Distance Carrier 
GCI
AT&T Alaskom
Excel Communications
eMeritus Communications
Internet Service:
Supervisions Cable Modem
Cable Service:
Cable TV
Premium Movie Channel(s)
Other information/Sign-up inquiry:
(Please describe your request below)

Callback Timeframe (required to complete some orders)


Contact Number (If different than above): Best Times to Call:
 Ext:


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updated 01/04/2004

Copyright © 2003 SuperVisions Cable TV  P.O. Box 872100  Wasilla, AK  99687-2100

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