Dealer Satellite Receiver Order Form

To order by phone please call 1-866-609-9374.
All dealers must complete a Dealer Receiver Account Set Up form before ordering and include a credit card to keep on file to process orders from this form. Orders placed after 2:30pm CST on a business day or during the weekend will be processed the next business day. Required fields are denoted with *.


Billing Information Shipping Information
*Dealer Name: *Ship To:
*First Name: Ship To C/O:
*Last Name: *Address:
*Customer #: *City:
PO #: *State:         *ZIP:   
*Email: Phone:

Receivers Part Number MSRP Price Quantity
DIRECTV HD H24 $115.00 $89.00
DIRECTV HD** H25 $115.00 $89.00
DIRECTV HD/DVR HR24 $210.00 $189.00
DIRECTV B-BAND Converter SUP-2400 $10.00 $10.00

Select Shipping Method:

Shipping prices will vary. If you would like a total sent before the order is processed please comment below.
Any order over 12 total receiver units will receive free ground shipping.

Comments:






**Recommended for SWM capable products only.



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