Q-TV Order Form

Zeus Q-TV Order Form
Canadian Customers:

Please complete the order form and send an e-transfer to info@zeusiptv.net from your online banking account using these details:

Recipient Name: Zeus

Security Question: zeus code

Security Answer: zeus626

Outside Canada:

Please complete the order form and you will be sent an email with payment instructions.
Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Payment Method*
Number of Months*
Streaming Method*
New Account or Renewal*
Mac Address
Comments
Should be Empty: