en:signup [VIF Internet]

Signup Online

Personal Information
*First name
*Family name
*Address
*Postal code
*Town
*Province
*Telephone
Information ADSL
	In order to request a high speed activation, we need to have the name and address of the phone line to activate as it appears exactly on you phone bill. Please make sure this information is correct in order to avoid any delay with the line activation.
Same information	Check this box if the information on your phone bill is the same
First name
Family name
Address
Postal code
Town
Province
	Enter the telephone number of the line you wish to activate the high speed access service.
Telephone
*Modem
Login information
*Membership plan
*Requested login name
*Password
Comments

	*denotes required note