Rock Island Technology Solutions

Submit order for Rock Island DSL - * Fields Are Required Note: If you have a fax line enter that number for your DSL service, this will eliminate the need for DSL filters for your regular phones. If you only have one phone line into your home or business then enter that for your DSL service.
CenturyTel Number to put DSL service on:*	ex. 999-999-9999
Subscriber Name:*
Contact Phone Number:*	ex. 999-999-9999
Physical Address:*
City:
Zip:*
E-mail:*
Service Speed:*
Modem Type:
I understand and agree to the Terms and Conditions: *
Notes to DSL Dept:


Please Note! By submitting this form you are ordering DSL service from Rock Island. If you decide later that you do not wish to have service and your order has already been assigned by CenturyTel you may be charged the install fee of 95.00. So BEFORE you click "SEND" be absolutely sure you want DSL service and understand all the costs involved. If you have ANY questions regarding DSL services please contact our DSL Sales Dept at adsl@rockisland.com