Cable Television Application
Name:
Service Address:
Mailing Address (if different):
Telephone Number:
Social Security Number:
Please mark the services you would like:
Basic Cable TV
HBO, HBO 2, HBO Signature, HBO Family
Showtime, Showtime 2, TMC, FLIX, and the Sundance Channel
I need wiring done for additonal cable locations. Charges will be $50 for first location and $35 for each additional cable location.

Please call our office for an amount to send with your applicatiion. (944-5711)

$25 One-time Installation fee applies.

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