Registration Form

Registering Via Internet

  • Please complete the form below 5 weeks prior to your move in date, to ensure your services are ready.
  • After completing the form press the submit button and your information will be sent directly to Rogers, who will contact you within 3 business days to confirm the details of your service request.
  • If you would like to update your information after submitting this form, or if you have questions about the Always On® services, please contact Rogers directly at 1-866-902-9534.

Registering Via Fax

  • Click here to print this page.
  • Please complete the form 5 weeks prior to your move in date, to ensure your services are ready, and fax it (attn: Central Inside Sales Team) to 416-466-7416.
  • A member of the Rogers service team will contact you within 3 business days to confirm the details of your service request.
  • If you would like to update your information after submitting this form, or if you have questions about the Always On® services, please contact Rogers directly at 1-866-902-9534.
* ITEMS MARKED WITH A STAR ARE REQUIRED.
*First Name: *Last Name:
*Daytime Telephone: *Evening Telephone:
  (Please use phone number that will be functional during move)
*Email:
 
Previous Address – Are you currently a Rogers customer at your previous address?
If yes, we will contact you to coordinate the account transfer.		 Yes No

Current Address:  
*Address:
Unit / Suite Number:
City:
Province:
Postal Code:

New Address:  
*Address:
*Community:
Unit / Suite Number:
City:
Province:
Postal Code:

Move-in or Occupancy Date:

Important: If you don’t send in the form within 15 days, we’ll assume that you don’t want
cable in your suite and it will be disconnected.

Please note that if you have ordered anything beyond the basic cable service, an appointment
will be scheduled to have a technician visit your home.

*Offer is subject to change without notice and is available only to new residential customers at their new residence in Rogers serviceable areas. Offer applies to Rogers Home Phone monthly recurring service fees for eligible services and to all Cable and Cable Internet services excluding Extreme Plus. Cannot be combined with any other Rogers offers. Regular monthly rates apply after promotional period.  Home Phone: ±A $5.95 monthly System Access Fee (non-government fee) a monthly 9-1-1 Emergency  Access Fee (non-government fee) and a Hearing Impaired Assistance fee apply in addition to the monthly service fee. Internet: A $3 monthly modem rental fee and a $14.95 one-time Activation Fee apply. Digital TV: Digital Service Fee of $2.99/mo. applies. Long distance charges, additional programming, including Pay Per View, and the one-time System Access Fee for Internet are extra. 2 Services must be registered and activated to be “Always On”. ™Rogers, the Mobius Design are trademarks of or used under license from Rogers Communications Inc. or an affiliate.  All other brand names & logos are trademarks of their respective owners. Tridel, Built for Life and Always On are registered trademarks of the Tridel Corporation. © 2009

Rogers