First Name* As shown on valid Picture ID	Last Name*
Address*	City*
Zip*	Island*
	Oahu Big Island Maui Kauai
Email	Daytime Phone*	Evening Phone*
Best Time To Call*
Day Night Any Time
Are you currently a subscriber of Oceanic Cable?*
Yes No
Which of the following services are you interested in?*
Standard TV Road Runner - Internet Road Runner - Turbo Digital Phone Digital Video Recorder Digital Cable Service Premium Channels HDTV
Computer Information Operating System* Select Operating System Windows XP Windows 2000 Windows ME Windows NT Windows 98 Macintosh OS X Macintosh OS 9.x UNIX Linux OS/2 Window Vista Other (Recommended: PC - Windows 98, 2000, XP; Mac - OS 9 or higher) Does your computer have a network card? Yes No
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