Millennium Digital Media

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The Jewelry Channel is now available! - Millennium Digital Media is pleased to announce the addition of The Jewelry Channel on Digital Basic channel 113.

MASN HD is now available! - Millennium Digital Media is pleased to announce the addition of Mid Atlantic Sports Network on HD Basic channel 415.

Golf HD/Versus HD is now available! - Millennium Digital Media is pleased to announce the addition of Golf HD/Versus HD on HD Basic channel 416.

Lifetime Movie Network HD is now available! - Millennium Digital Media is pleased to announce the addition of Lifetime Movie Network HD on HD Basic channel 428.

National Geographic HD is now available! - Millennium Digital Media is pleased to announce the addition of National Geographic HD on HD Tier channel 434.

The Golf Channel has moved - The Golf Channel has moved from Expanded Basic channel 50 to Digital Basic channel 118

Home > Order Form

Thank you in advance for ordering service from Millennium Digital Media! Our goal is to ensure your 100% satisfaction! Please fill out and submit the form below, and a Customer Service representative will get back to you promptly to review your order and confirm your installation date. It’s that easy!
Are you ordering new service, or are you upgrading an existing Millennium account?
New	Upgrade to existing account

Account Number: (if you have it)

Please provide the following information about yourself and the address where you want service:

Name:
E-mail:
Home Phone:
Address 1:
Address 2:
City:
State:
Zip:

Which of the following MDM products are you interested in?

Video Services	Premium Channels
Expanded Basic Cable	HBO	HBO Platinum
Digital Basic Cable	Showtime	Showtime Platinum
Digital Cable with DVR	Cinemax	The Movie Channel
Digital Cable with HD	Starz	FLIX
	Pay Per View	Encore
		Adult Channels


Internet Services	Computer Information
CableSpeed	I have Windows PC(s) Win 95 / XP / NT
CableSpeed Lite	I have Macintosh PC(s) OS 9 / OS X
CableSpeed Safe & Secure	I have a home network
	I primarily use MSIE
	I primarily use Netscape
	I primarily use Firefox
	I own a cable modem

Millennium Voice	Voice Information
Millennium Voice 500	I want a new phone number
Millennium Voice Unlimited	I want to keep my same phone number
	I want a second line
	I want a toll free phone number

Additional Info
I have TV(s)	My home has never been wired for cable

When is the best time for installation?

Day:	Time:

Specific Date and Time:

When should we contact you to confirm this order and installation schedule?

Time:

How should we contact you?

Phone
Email

Anything else you would like to add?