Letter of Authorization

tribCSP.com, Internet Service Provider, is hereby authorized on my behalf to place a
QWEST DSL order for:

Customer Name:__________________________________________________________

Address:________________________________________________________________

City:__________________________________________, WY Zip:________________

E-mail:________________________________________

Qualifying Qwest telephone number:______________________________________


Each QWEST DSL Subscriber must pay for their residential or business phone line,
their DSL modem and their Internet service charges in addition to the DSL
subscriber charges below.

I am authorizing the placement of the order of the service level marked below:


Standard Services: Non recurring m/m 12Mo 36Mo 60Mo
charges

____QWEST Choice DSL 256K $99.00 $15.00 n/a n/a n/a

____QWEST Choice DSL Deluxe $99.00 $28.00 n/a n/a n/a

Professional Services

____QWEST DSL ProDeluxe $99.00 $55.00 $55.00 $55.00 $55.00

____QWEST DSL Pro 640K $99.00 $66.00 $64.00 $62.00 $60.00

____QWEST DSL Pro 1M $99.00 $88.00 $84.00 $80.00 $76.00

____QWEST DSL Pro 4M $99.00 $165.00 $160.00 $155.00 $150.00

____QWEST DSL Pro 7M $99.00 $275.00 $269.00 $263.00 $257.00


Optional QWEST

____Technician Install $149.00

____Actiontec GT701-wg Modem|Router
Connections via single USB port, single Ethernet port, or built-in 802.11b\g wireless Access Point.
Offered only on a rental basis of $5.00 per month or purchase for $59.99 from QWEST.

This authorization does not preclude my ability to act on my own behalf or to
authorize other representatives to act as my agent on matters concerning
telecommunications services as evidenced by other written letter or letters of
authorization.

I agree that I am responsible for all charges incurred by Qwest Communications
services that are provided to me, regardless of whether the service is ordered
by me or by my agent.


Authorized Signature:_________________________________________________________

Date:_________________________________________________________________________

Please mail or fax to:

tribCSP.com
P.O. Box 130
Casper, WY 82602-0130
phone: 1-888-235-9132 fax: 1-307-472-4167