Please complete the form below:

Pricing Details
Monthly Fee *

*Month to month agreement

1. Please Provide Your Contact Details
Registered Business Name**
What is your DISH Retailer ID?
Please select your Hardware Provider.
First Name
Last Name
Email Address
Phone (Business)
Phone (Cell)

**Must be that which is on file with DISH

Zip Code
2. Enter Your Billing Address   3. Enter Your Credit Card Information
Same as contact address
Credit Card Billing Address
Zip Code
Credit Card Type
Card Number
Name on Card
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5. Confirm Your Registration
Please carefully review the information you have provided before clicking the button below.We will send confirmation of your new account to the e-mail address you entered.
You must read and accept our Terms and Conditions before we can process your registration.

I agree to the Terms and Conditions

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