D3 Entertainment TV New Customer Information Request Form

7,000+ Live TV Channels, 25,000 Movies, 5,000+ TV Shows On-Demand, PLUS Netflix, Amazon Prime, Hulu+ & More...

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LATEST FIRE TV STICK and FAST INTERNET (1000 MBPS Recommended)!

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New Customer Information Request Form:
Welcome to D3 Entertainment TV! Our team would like to thank you for your interest in becoming a 'D3 Entertainment TV' customer. To get your enrollment started, please complete the following information request form below.

Once we receive your information, a Team Member will generate a 'Request for Payment' from payment source you choose below. Once we receive payment, a Team Member will create your new account and send you confirmation email with setup instructions. We will do our best to complete your request within 3 hours of receiving your information and payment. Please email us at support@d3enttv.com if you have any questions.
Select the # of TV accounts you wish to create:*

I am setting up 1 Active User Account for $75. (Setup Fee - $35 + 1st Month Service - $40)I am setting up 2 Active User accounts for $90. (Setup Fee - $35+ 1st Month Service - $55) ** MOST POPULAR **I am setting up 3 Active User accounts for $110. (Setup Fee - $35 + 1st Month Service - $75)Other
I would like Pre-Programmed Fire TV Stick(s) Shipped via Priority Mail ($50/Firestick):

YesNo
Number Of Pre-Programmed Fire TV Stick(s):
Customer Name:*

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Service Connection Date:*

MonthDayYear
Date
Customer Phone Number:*

Area CodePhone Number
Customer Email:*
example@example.com
Preferred Form of Payment:*

VenmoZelle
Payname:*
Zelle or Venmo
Referred By (N/A if thru advertising):*
Realtor, Leasing Agent, Postcard, Instagram, Etc.
Customer Service:
example@example.com
Should be Empty:

7,000+ Live TV Channels, 25,000 Movies, 5,000+ TV Shows On-Demand, PLUS Netflix, Amazon Prime, Hulu+ & More...