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In order to determine if your phone line will support our High Speed DSL service, we need to check your name and phone number against our databases. Your information will be kept confidential but is required in order to accurately check the database and reply to you via e-mail. Thank you for inquiring about USFamily High Speed!
  Phone number
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have a Qwest Phone number
First Name
Last Name
Street address
Apt/Flr/Ste
City
State
Zip Code
E-mail address
Best Time to Call
How did you hear about DSL?