This is a DSL pre-qualification form (NOT a DSL order form) - Call us at (707 636-2000, or (888) 287-9766 or fill out the following fields and Pacific Online will determine whether DSL can be installed at your residence. You will be emailed notification typically within 24 hours oftentimes much sooner.

Pacific Online DSL currently covers a majority of California; San Francisco Bay area up to Eureka, Los Angeles County, Stockton/Modesto, Sacramento vicinity, and Chico and Redding vicinities.

You must have AT&T phone service in order to signup for DSL. You will be emailed if you qualify for DSL.

The phone number where DSL will be installed  MUST include Area Code) 

Full Name  

Address where DSL will be installed:  

City    State      Zip Code   

Your Email Address:    

How did you hear about us? Change this pull down menu to the item that best describes how you heard about us: ComputerStore GoogleSearch Newspaper NonGoogleNetSearch Postcard StudentFlyer WelcomeWagon YellowPages Other

If you choose "Other" above please write the details here:(ie, which computer store, college you saw flyer, etc) - OK to also leave blank