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customer information

*First Name

*Last Name

*Address

*City

*Province
*Postal Code
*Home Phone
Work Phone
Cell Phone
*Current Email Address
*Birthdate

optional information

To be eligible for student contests and promotions*, please fill out the following information:

Student Number

Name of School

Student Email Address

*Promotion eligibility will be determined pending contact by a Jump.ca Sales Representative

additional information

*Do you currently have SaskTel Dial-Up Internet?
YesNo
*Have you subscribed to Max or High Speed services in the last 6 months?
YesNo
*Do you have a home security system?
YesNo
What would you prefer as your sasktel.net email address?
@sasktel.net
@sasktel.net
@sasktel.net
@sasktel.net

Preferred install date


Additional Comments:

Note: Fields marked with a red asterix ( *) are required fields.



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