Signup Form

If you have any question or need ordering assistance please call us at 1-866-778-7326 or e-mail us at sales@mainstreamnetwork.com. 

* Please fill out all required fields

Contact Information
 
Email: *  
First Name: *  
Last Name: *  
Organization: *  
Address: *  
City: *  
State/Providence: *  
Zip/Postal Code: *  
Country: *  
Phone: *  
Fax:

Streaming/Service Packages
 
Mobile Streaming App
Streaming Format
24 x 7 Audio Streaming:
Video Streaming:
On-Demand Streaming:
Podcasting Packages:
Hosting Packages:  [View Plans]
Desired Password: *  
Desired Launch Date:
Website Address:
Promo Code:
Custom Quote, Special Instructions, comments:

Billing Information
 
Form of Payment:
Card Number:
Card Exp Date:
Name on Card: *  
Company:
Address: *  
City: *  
State/Province: *  
Zip/Postal Code: *  
Phone Number: *  
Fax Number:
Special Billing Instructions or Comments:

Our billing cycle begins on the 1st of each month. Your account will be billed automatically around the 1st of each month. We will prorate your first months bill from the day your service begins.

A 30 day written notification is required, by either party, prior to cancellation of service. To cancel service please call (757) 502-7400 or e-mail sales@mainstreamnetwork.com.

* Selected video pricing is based upon one hundred fifty concurrent viewers.

By submitting this form, I acknowledge that I have read and understand the TERMS set forth in this agreement.

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