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Type of DIRECTV Customer: Residential Customers | Business | Multi Dwelling Units

Give your residence DIRECTV for the best TV experience.

DIRECTV For Assisted Living, Independent Living & Nursing Homes Application Form




What is the time frame a solution is needed?


How should we contact you?
Call Me
Email Me
Visit Me

Number of & type of residents:
Short Term Rehabilitation
Skilled Care
Assisted Living
Independent Living
Who is your current cable or satellite TV provider?
Bulk Basis Individual Billing

Please check all that apply:
Seeking Lower Programming Prices
Wanting Better Channel Selection For Residents
We Want To Get Rid Of Our Cable Boxes
Replacing Televisions
We Are Having Wireing or Reception Issues
We Are Newly Constructed or Are Renovating

Type of solution you are interested in:
Local Channels Only
24 Channel Budget SNF System
Standard 32 Channel SNF System
Fully Featured Deluxe System (60-120 Channels)
Digital Options
Premium Channles

Add-on features needed:
On-Screen TV Guide Showing Your Channels Only
Community Message & Info Channel
WiFi Internet For Residents
DVD Channel
Live Event Broadcasts

Questions / Comments / Additional Property Information:
Call Us Today!
1-800-398-6176