DSL Account Setup Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone *If you have a bell landline enter it in here.Email *Activation Cost: *New Activation $90.95Do you Have a Bell Landline:YesNo ( Then A Dry loop Is Needed For DSL Internet Prices Are Between $8.95 To 22.95 Depending on your area)For Dry-loop We will let you know the price once we send you a quote. PLAN OPTIONS: *DSL Standard: ( up to 6mbps download/up to 1mbps upload) $29.95DSL Bronze: (up to 7Mbps download/up to 1mbps upload) $34.95 Unlimited DataDSL Silver: (up to 15Mbps download/up to 1mbps upload) $39.95 Unlimited DataDSL Gold: (up to 25mbps download/up to 10mbps upload) $45.95 Unlimited DataDSL Diamond: (up to 50mbps download/up to 10mbps upload) $59.95 Unlimited DataPlease Note all prices are Subject to HSTModem Options – modems wired or wireless Options *$79.95 Purchase SMARTRG SR501 (not wireless)– Shipping included$120 Purchase SMARTRG 516AC (wireless)– Shipping includedRent To Own SMARTRG SR501 $50.00 Deposit and Monthly payments of $5/month (not wireless) Till its paid offRent To Own SMARTRG 516AC $70.00 Deposit and Monthly payments of $10/month (wireless) Till its paid offUse your own Modem (must be on the approved modem list If checked please provide the following information:Please Note all prices are Subject to HSTIf using your own modem.please Email it to [email protected]Terms Of Service *Please go to https://www.jewlcommunications.ca/terms-and-conditions/Method of Payment – All accounts are automatic payments withdraw Or must be paid by on the 1st of the month *E-Transfer To [email protected]Online BillingVisaMastercardAMEXFor Visa, Mastercard and AMEX we will send you a form to fill out to enter it in our Square Payment SystemSubmit