internet direct incorporated

Ordering DSL consists of two parts:

Internet Direct and Ameritech will perform a remote line test to pre-qualify your telephone service for DSL. There is no additional charge for this service and you are not obligated to purchase DSL service once the test is completed. Once you are pre-qualified for DSL service, Internet Direct will help you determine what DSL service plan best suits your needs and objectives. Pre-qualification results are normally back in 1-3 business days.

Once pre-qualified, Internet Direct will process your order, and inform you of its status. For a normal customer self-install, the time frame to activate service is approximately 10 business days.

To see if you are eligible for DSL service and to start the pre-qualification process, please fill in the information below and you will be contacted by a Internet Direct Representative.

FILL OUT THE FOLLOWING FORM TO GET PRE-QUALIFIED FOR DSL IN TOLEDO!

! Indicates REQUIRED field.

Contact Information

Full Name

Company Name
(if applicable)

Street Address
(Exactly as it appears on your monthly Ameritech phone bill)

City and State

Zipcode

Home Phone

Best Day to Call

General Information

Telephone number you want DSL installed on (if you're a business, this number should not be in a rollover or Centrix system, but should be a straight data line such as a fax line)

DSL Information

Service Level Option:

Level	Down Speed	Up Speed	Monthly Cost	On-Site Setup Fee (1-time)
Infinity 768	768 Kbps	128 Kbps	$49.95	$150
Infinity 768 Plus	768 Kbps	128 Kbps	$64.95	$150
Infinity 1500	1.5 Mbps	256 Kbps	$129.95	$150
Infinity 1500 Plus	1.5 Mbps	256 Kbps	$159.95	$150
I don't know what service level I need

Choose your DSL modem:

	i200 ADSL Modem Internal PCI Card
	1300 ADSL External USB Modem
	I'm not sure

Do you require a DSL router?

Yes No I'm not sure