Voicenet Communications: Products and Services: DSL Prequalification Request

Prequalification form

Please fill out the following form and a Voicenet representative will contact you with the results as to whether or not Voicenet DSL is available in your area. The information you submit is used exclusively by Voicenet for this purpose (see our privacy statement .)

You must include your name, installation phone number, and either a contact email address or phone number or we will not be able to contact you with the results of your request.

Please also note that Voicenet DSL is only available in the following states: Pennsylvania and Delaware.

*Name
Need Service For
*Installation Phone Number
Who is the local telephone provider for this number?
Installation Address

Installation City
Installation State
Installation Zip
Contact me via	Phone Email Either
Best time to contact
*Contact email address OR
*Contact phone number	Ext
How did you hear about Voicenet? (please specify)
Additional questions or comments

The installation telephonenumber and address are the telephone number and address where DSL willbeinstalled.Ifyou have an automated telephone system (such as PBX) please use a telephone number other than your main number (such as your fax line.) Voicenet DSL uses line-sharing technology and, unlike dialup, will not "tie up" the phone line you select to install service on.

DSL is a "best-effort" service. Voicenet will consider a downstream speed of between 144kps and 608kps a successful, "best effort" install. Based upon the individual's phone line, distance from local telephone company equipment and the CLEC's network, the ability to burst at speeds up to 768kps, 1.5Mbps or 7.1Mbps is available with Voicenet DSL, regardless of the speed at install.