ChelseaData.ca - Telephone / Internet Service Signup

Telephone / Internet Service Signup

This is an automated system - don't worry though! The information provided is used for contacting you and verifying service availability only. Nothing is done without your confirmation and approval.

Your Information

Please fill in the fields below. Fields with a blue background are mandatory. If you are unsure of content, don't worry - we can make changes before anything else gets done. All information will be confirmed with you before any changes are made to your existing services and before any costs are incurred. Information provided is used expressly for provision of telecom services - we do NOT share/sell/rent any information provided to us. See our Privacy Policy for details.

First Name:

Last Name:

Address 1:

Address 2:

City/Town:

Province:

Postal Code:

Current Phone: Either a current telephone number OR an email address must be provided.

Email Address:

I am interested in : (please check all that apply)
Local Telephone
Long Distance
High Speed DSL Internet
Dialup Internet

I prefer to be contacted by : Email Telephone

For telephone contact, I prefer to be contacted in the : Morning (8-11am) Afternoon (1-5pm) Evening (6-9pm)

Additional contact instructions:

By pressing the "Sign Up Now" button below, you agree to the following:

all information provided above is true

services are available to Canadian residents, in Canada only

all services are pre-paid

you will be contacted by ChelseaData.ca to discuss your communications needs

Problems? Comments? Please contact us.
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Your Information
Please fill in the fields below. Fields with a blue background are mandatory. If you are unsure of content, don't worry - we can make changes before anything else gets done. All information will be confirmed with you before any changes are made to your existing services and before any costs are incurred. Information provided is used expressly for provision of telecom services - we do NOT share/sell/rent any information provided to us. See our Privacy Policy for details.
First Name:
Last Name:
Address 1:
Address 2:
City/Town:
Province:
Postal Code:
Current Phone:	Either a current telephone number OR an email address must be provided.
Email Address:
I am interested in : (please check all that apply) Local Telephone Long Distance High Speed DSL Internet Dialup Internet
I prefer to be contacted by : Email Telephone
For telephone contact, I prefer to be contacted in the : Morning (8-11am) Afternoon (1-5pm) Evening (6-9pm)
Additional contact instructions:


By pressing the "Sign Up Now" button below, you agree to the following: all information provided above is true services are available to Canadian residents, in Canada only all services are pre-paid you will be contacted by ChelseaData.ca to discuss your communications needs