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Quebec Order Form
Quebec Order Form
Please complete the form to submit your quote request.  This is a pre-authorization form to collect basic information.  Someone will contact you to complete the transaction.
11Questions
Québec Order Form
Language
  • English (Canada)
  • French (Canada)
  • 1
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  • 2
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  • 3
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
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    • Jersey
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    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 4
    prevnext( X )
    My Bag
    0
    My Bag
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    Great Product Name
    $20
    Quantity:1
    Size:Small
    RemoveEdit
    ORDER SUMMARY
    TaxCAD
    ShippingCAD
    SubtotalCAD
    Total costCAD
    • Activation Fee - New Connection
      Activation Fee - New Connection
      $49.95CAD+RemoveEdit
      Back
    • Activation Fee - Transfer
      Activation Fee - Transfer
      $FreeCAD+RemoveEdit
      Back
    • Cable Internet Plans (Videotron Areas)
      Cable Internet Plans (Videotron Areas)
      $FreeCAD+RemoveEdit
      Back

      $34.95 / Cable 5 Lite
      • $34.95 / Cable 5 Lite
      • $39.95 / Cable 5 Unlimited
      • $48.95 / Cable 15 Unlimited
      • $62.95 / Cable 30 Unlimited
      • $74.95 / Cable 100 Unlimited
      Subtotal: $0.00CAD
    • DSL Internet Options
      DSL Internet Options
      $FreeCAD+RemoveEdit
      Back

      $40.95 / DSL 6 Lite
      • $40.95 / DSL 6 Lite
      • $45.95 / DSL 6 Unlimited
      • $59.95 / DSL 25 Unlimited
      Subtotal: $0.00CAD
    • Cable Modem - I'd like to purchase a modem
      Cable Modem - I'd like to purchase a modem+$10 one-time shipping applied
      $139.95CAD+RemoveEdit
      Back
    • Cable Modem - I'd like to rent-to-own a modem
      Cable Modem - I'd like to rent-to-own a modem12 months +$10 one-time shipping applied
      $11.66CAD+RemoveEdit
      Back
    • Cable Modem - I already own a modem
      Cable Modem - I already own a modem
      $FreeCAD+RemoveEdit
      Back
    • DSL Modem - I'd like to loan a modem
      DSL Modem - I'd like to loan a modem+$10 one-time shipping applied
      $FreeCAD+RemoveEdit
      Back
    • DSL Modem - I already own a modem
      DSL Modem - I already own a modem
      $FreeCAD+RemoveEdit
      Back
      Total cost $0.00CAD
      Press
      Enter
    • 5
      • RCA/Thomson/Technicolor DCM475 - STAC.55.10
      • Hitron CDA-RES - 4.4.0.30
      • Technicolor TC4300 - STFC.55.01
      • Technicolor TC4350 - 50041..1.15.0
      • Technicolor TC4400 - SR70.12.41-180903
      • Technicolor TC4310 - STF8.20.02
      • Arris TM822G - 9.1.103S5Q
      Press
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    • 6
      Please select a date more than 3 days after today
      -
      Pick a Date
      Press
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    • 7
      Press
      Enter
    • 8
      Press
      Enter
    • 9
      Please Select
      • Please Select
      • United States
      • Afghanistan
      • Albania
      • Algeria
      • American Samoa
      • Andorra
      • Angola
      • Anguilla
      • Antigua and Barbuda
      • Argentina
      • Armenia
      • Aruba
      • Australia
      • Austria
      • Azerbaijan
      • The Bahamas
      • Bahrain
      • Bangladesh
      • Barbados
      • Belarus
      • Belgium
      • Belize
      • Benin
      • Bermuda
      • Bhutan
      • Bolivia
      • Bosnia and Herzegovina
      • Botswana
      • Brazil
      • Brunei
      • Bulgaria
      • Burkina Faso
      • Burundi
      • Cambodia
      • Cameroon
      • Canada
      • Cape Verde
      • Cayman Islands
      • Central African Republic
      • Chad
      • Chile
      • China
      • Christmas Island
      • Cocos (Keeling) Islands
      • Colombia
      • Comoros
      • Congo
      • Cook Islands
      • Costa Rica
      • Cote d'Ivoire
      • Croatia
      • Cuba
      • Curacao
      • Cyprus
      • Czech Republic
      • Democratic Republic of the Congo
      • Denmark
      • Djibouti
      • Dominica
      • Dominican Republic
      • Ecuador
      • Egypt
      • El Salvador
      • Equatorial Guinea
      • Eritrea
      • Estonia
      • Ethiopia
      • Falkland Islands
      • Faroe Islands
      • Fiji
      • Finland
      • France
      • French Polynesia
      • Gabon
      • The Gambia
      • Georgia
      • Germany
      • Ghana
      • Gibraltar
      • Greece
      • Greenland
      • Grenada
      • Guadeloupe
      • Guam
      • Guatemala
      • Guernsey
      • Guinea
      • Guinea-Bissau
      • Guyana
      • Haiti
      • Honduras
      • Hong Kong
      • Hungary
      • Iceland
      • India
      • Indonesia
      • Iran
      • Iraq
      • Ireland
      • Israel
      • Italy
      • Jamaica
      • Japan
      • Jersey
      • Jordan
      • Kazakhstan
      • Kenya
      • Kiribati
      • North Korea
      • South Korea
      • Kosovo
      • Kuwait
      • Kyrgyzstan
      • Laos
      • Latvia
      • Lebanon
      • Lesotho
      • Liberia
      • Libya
      • Liechtenstein
      • Lithuania
      • Luxembourg
      • Macau
      • Macedonia
      • Madagascar
      • Malawi
      • Malaysia
      • Maldives
      • Mali
      • Malta
      • Marshall Islands
      • Martinique
      • Mauritania
      • Mauritius
      • Mayotte
      • Mexico
      • Micronesia
      • Moldova
      • Monaco
      • Mongolia
      • Montenegro
      • Montserrat
      • Morocco
      • Mozambique
      • Myanmar
      • Nagorno-Karabakh
      • Namibia
      • Nauru
      • Nepal
      • Netherlands
      • Netherlands Antilles
      • New Caledonia
      • New Zealand
      • Nicaragua
      • Niger
      • Nigeria
      • Niue
      • Norfolk Island
      • Turkish Republic of Northern Cyprus
      • Northern Mariana
      • Norway
      • Oman
      • Pakistan
      • Palau
      • Palestine
      • Panama
      • Papua New Guinea
      • Paraguay
      • Peru
      • Philippines
      • Pitcairn Islands
      • Poland
      • Portugal
      • Puerto Rico
      • Qatar
      • Republic of the Congo
      • Romania
      • Russia
      • Rwanda
      • Saint Barthelemy
      • Saint Helena
      • Saint Kitts and Nevis
      • Saint Lucia
      • Saint Martin
      • Saint Pierre and Miquelon
      • Saint Vincent and the Grenadines
      • Samoa
      • San Marino
      • Sao Tome and Principe
      • Saudi Arabia
      • Senegal
      • Serbia
      • Seychelles
      • Sierra Leone
      • Singapore
      • Slovakia
      • Slovenia
      • Solomon Islands
      • Somalia
      • Somaliland
      • South Africa
      • South Ossetia
      • South Sudan
      • Spain
      • Sri Lanka
      • Sudan
      • Suriname
      • Svalbard
      • eSwatini
      • Sweden
      • Switzerland
      • Syria
      • Taiwan
      • Tajikistan
      • Tanzania
      • Thailand
      • Timor-Leste
      • Togo
      • Tokelau
      • Tonga
      • Transnistria Pridnestrovie
      • Trinidad and Tobago
      • Tristan da Cunha
      • Tunisia
      • Turkey
      • Turkmenistan
      • Turks and Caicos Islands
      • Tuvalu
      • Uganda
      • Ukraine
      • United Arab Emirates
      • United Kingdom
      • Uruguay
      • Uzbekistan
      • Vanuatu
      • Vatican City
      • Venezuela
      • Vietnam
      • British Virgin Islands
      • Isle of Man
      • US Virgin Islands
      • Wallis and Futuna
      • Western Sahara
      • Yemen
      • Zambia
      • Zimbabwe
      • Other
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    • 10
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    • 11
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    • 12
      Describe what we can improve to enhance the experience and we thank you in advance for your comments.
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    • 13
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    • Should be Empty:
    Québec Order Form
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