Tuscany Services Order Form

Please be informed that filling out this form informs us that you are interest in our services.  A sales representative will contact you for the details.
There will be no charges on your card at this time.

First Name:
Last Name:
Email:
Phone:
Address:
City:
State:
Zip:
Country:

Card Type:
Name on Card:
Card Number (no spaces):
CCV Number:
Expiration:
Image validation:


View Terms and Conditions
 

 

Cable TV Service

Basic Cable TV
Digital Basic
Premium Digital
No TV Service  
 

High-Speed Internet Service

Student Lifestyle
Family Lifestyle
Professional Lifestyle
No Internet Service
 

Digital Direct Phone Service

Residential Basic Digital Direct Phone
Residential Premium Digital Direct Phone
No Phone Service
 

Computer & Network Service

Single Wireless Computer Network (1)
Wired Computer Network (2)
Wired and/or Wireless Computer Network (3)
No Network Service
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