Xplornet Information Request Form

If you wish to find out more information or order an Xplornet service, please fill in the form below. We will then contact you qualifying your needs, and upon your confirmation, book an install.            * indicates a required field

First Name *

Last Name *

Company (if applicable)

Address *

City *

Postal *

Province *

Main Contact Phone *

Cell Phone

Your Email: *

Please fill in the rest of the form if you can. It is optional but the more information you enter here, the easier it will be to get you the information you need, and the faster we can book your install.

Current Internet Connection:
Dial-upDSLCableFibreWirelessTurbo HubRocket StickUnknownnone

Current Internet Provider:
RogersBellCogecoTeluslocal ISPOtherUnknownnone

Type of Service Required:

Internet Package Preferred:

Building Exterior: (click all that apply)
1 Story1.5 Story2 StoryMore then 2 StoryBrickSidingWoodMetalShingled RoofMetal RoofBrick Chimney

Do you have a TV antenna?

Do you currently have a Satellite Dish Installed?
Shaw DirectBellothernone

If you are a Shaw Direct customer, enter your account # to qualify for 5% discount on Xplornet monthly internet service

If you are not a Shaw Direct customer, do you want to become one and get 5% discount on Xplornet internet?

Your Message

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