airsurfer logo

 You have chosen to purchase an AirSurfer Wireless Internet (Residential) account

 Contact information:

 Fields marked with a * are required.
* First Name: * Last Name:
Organization: * Address:
* City: * Province:
* Country: * Postal Code:
* Phone: * Email address:
Quarter Section: Section:
Township Number: Range Number:
Please note: Do not use an address at the same domain you wish to host with us.
If you plan to host with us, do not use as your contact address.


Please provide some driving instructions to your house. Also, please let us know what would be a good time and phone number to call you to arrange for a site visit. As well, if you would like to send us any further comments or instructions, please add them here.