Thank you for your interest in commercial programming for your business establishment.  Please complete the form below and one of our Commercial Customer Service Representatives will contact you shortly.
Company NameAddress
Contact NameCity

Contact Title

State
TelephoneZIP Code
Fax Telephone
Email Address
Do you own or lease the building?  Own 
  Lease
Approximate square footage of building. square feet
Do you currently have cable or satellite service in the building?  Yes
  No
If yes, who is the provider?
If yes, what do you pay per month?$ per month
If yes, are you currently under a contract? Yes
 No
If yes, when does the contract expire? MM/DD/YY  
How many televisions are currently on the premises?
Do you plan to add additional televisions? Yes
 No
How many independent television receivers require separate signals?
Is the building single story or multi story?  Single 
  Multi
What is the roof type?  Flat 
  Pitched
What type of business is your establishment?
What channels/programs MUST be available?
(Maximum 5 choices)



Contact Information
Raleigh, NC
919 781 6638

Kinston, NC
252 361 0525

Topsail, NC
910 328 0247

Central Ohio
419 946 8014

Toll Free  888 705 DISH (3474)
Fax  419 946 8066

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