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Your Contact Details
Installation Address
First Name:
Address:
Last Name:
City:
Phone:
State:
Alt. Phone:
Zip:
Email:
Select the number of TVs in your home, and the receiver combination you'd like for them
How many TVs?
1
2
3
4
Receiver combination?
Programming
America's Top 100
America's Top 200
America's Top 250
America's Everything Pak
DISH Latino
DISH Latino Dos
DISH Latino Max
Great Wall TV
Additional Packages:
Locals
HD
Showtime
Starz
HBO
Cinemax
TEN Clips
TEN
Playboy
Payment Information
Billing Address
*Your credit card will be charged $64.98 of which $49.99 will be refunded on your first DISH Network Bill
Credit Card Type:
Visa
Mastercard
American Express
Discover
Billing Address:
Credit Card Number:
City:
First Name:
State:
Last Name:
Zip:
Expiration:
/
SSN:
Single Story:
Yes
No
MDU:
Yes
No
Installation Time Prefs:
First Available
Sunday 8am - 12pm
Sunday 12pm - 5pm
Monday 8am - 12pm
Monday 12pm - 5pm
Tuesday 8am - 12pm
Tuesday 12pm - 5pm
Wednesday 8am - 12pm
Wednesday 12pm - 5pm
Thursday 8am - 12pm
Thursday 12pm - 5pm
Friday 8am - 12pm
Friday 12pm - 5pm
Saturday 8am - 12pm
Saturday 12pm - 5pm
Terms & Conditions