TCI Cable Order Form - Yamhill Co., Oregon

	Online Order Form Get a $5 DISCOUNT on installation when you order TCI Cable Services Online! Just fill in the form below and click once on the "Submit" button at the bottom of the page. You will be contacted by a TCI Customer Service Representative to verify your order and installation time by telephone. Please NOTE: This Order Form is valid ONLY in Yamhill Co., Oregon.

Order TCI Digital Cable Today! Now you can get up to 36 New channels for only $10.00 per month* (*plus $3.30/mo. for rental of the Digital Cable Terminal)

Please tell us about yourself: (All boxes must be filled in to qualify for your $5 discount)
Your name:
E-mail address:
Daytime Phone number:
Evening Phone number:
Street Address:
City & State:
Zip Code:

How can we help you today?
Are you a Current TCI Customer?		Yes No

If you answered "Yes", please indicate your present service. (If "No", skip to next question)		Basic Cable Only Basic & Expanded Basic Cable Basic, Exp. Basic & Premium Channels I'm not sure

Please check the service you would like to have installed from the list on the right. You can check more than one: (Note: To order Expanded Basic or Premium Packages, you must first order Basic Cable.) Learn all about TCI Cable Packages before you decide.		NEW! Digital Cable $10/mo.** 3 PC's/Encore/STARZ!/Guide $26.99/mo. 2 PC's/Encore/STARZ!/Guide $22.99/mo. 1 PC/Encore/STARZ!/Guide $16.99/mo. Encore/STARZ!/Cable Guide $7.99/mo. Basic & Expanded Basic Cable $26.02/mo. Service Call (price quoted by phone) (Premium Channels {PC's} include: HBO, Showtime and Cinemax. You can choose from these for your Package Orders.) (Prices do not include franchise fees. All prices are subject to change.) (**Plus $3.30/mo. for rental of the Digital Cable Terminal)

Which day of the week is most convenient for your TCI Cable installation?		Monday Tuesday Wednesday Thursday Friday

Which time period is most convenient for your TCI Cable installation?		Morning Afternoon



This form will send an email message to Customer Service at TCI Cablevision. You will be notified by telephone to confirm the date and time of installation.
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