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Tell us what’s important to you.

Here’s your first step toward getting the unparalleled service of BlinkTV, BlinkInternet and BlinkPhone… and saving money, too! Just complete this quick form, and the BlinkBundle professionals will develop an affordable package that’s tailored to your lifestyle. Of course, there’s absolutely no obligation, and you’re always free to make changes to your package. With Blink, it’s all about your satisfaction. Let’s get started right now:

Contact Information
First Name:
Last Name:
Address:
City:
State:
      
Zip:
Phone:
 - - *REQUIRED*
Email:
 *REQUIRED*


General Questions
What services are you interested in?
Interactive TV:
Yes
No:
High Speed Internet:
Yes
No:
Digital Phone:
Yes
No:
 
Who are you currently getting these services from?
   
How did you hear about BLINK?
   
Do you qualify for a senior citizen discount (65 or older)?
   


Television
How many TVs do you have?
How many TVs are Flat Screen?
How many channels do you watch?
Do you currently use a DVR?


Internet
What do you use the internet for? Select all that apply:
Searches:
Email:
Shopping:
Gaming
(XBox, PS3-4, Wii, etc..)
Downloading Media
(Movies, Music, Photos, etc..)
Uploading large files
Watching TV programs
Will there be multiple users online at the same time?
Do you currently utilize a router?
If yes, do you:


Telephone
Do you call outside of area code 315 ?
Do you want to keep your
existing phone number?
How often do you use your phone
for long-distance calling?
Comments/Questions:
I agree to the Terms and Conditions
 

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