Sirius Systems, Inc.

	Hours
	Monday - Friday 9am - 6pm Saturday & Sunday Closed

	Tech Support
	Monday - Friday 9am -8pm Sat. - Sun. 12pm -4pm

DSL Prequalification Request Form

Want to see if you qualify for any type of our DSL products? Fill in the form below and we will contact you within 24 hours (during the work week) to let you know if your location qualifies. The fields in the form marked with an asterisk (*) are required.

**NOTE**
You must have SBC/AT&T as your local telephone service provider
to have DSL service through Sirius Systems.

Name:	*
Address:	*
City:	*
Zip:	*
DSL Phone:	*
Contact Phone: (if different from DSL#)
Email Address:	*
Type of Install:	*
How do you want us to let you know if you qualify?*
Which plan are you interested in? *

	Contact Us
	Admin Billing Technical Support WebMaster

	Location
	26 SW E Ave. Lawton OK, 73501 Phone (580) 357 - 5040 Fax (580) 357 - 1377