Filling out this form will get you on your way to freeing yourself from high cable costs and to exciting DISH entertainment.

Once you submit this form the information will go to our sales department. Someone from that department will contact you to complete your order.


First Name

Last Name

Address

City

State

ZIP

Home Phone

Secondary Phone

Rooms to be
connected?





If you would prefer to talk to a sales associate directly, please call 1-800-435-2808 or (724) 463-3200.