CCT Live Registration CCT Live Registration Form Customer Information First Name * Last Name * Address * Address 1 * Address 2 City * Contact Number * Email * Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year1924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008 Year I'm interested in the * March Madness Promotion 12 month subscription Please indicate which offer you'd like to sign up for Were you referred by a Brand Ambassador? Brand Ambassador's Name Pick up device(s) Deliver device(s) Delivery * I hereby accept all Terms and Conditions indicated in this agreement indicating CCT Live. Terms and Conditions * Sign Up Click on any of the plans below to make a selection, and choose the number of devices you'd like for your selected plan. Selected Plan * CCT Live Gold $45 CCT Live Silver $30 CCT Live Bronze $15 CCT Live Gold $45 Up to 2 users | $10 per device Includes Bronze and Silver Channels CALA Action CALA Classics CALA Westerns CityTV Comedy Central Comet CTV FYI History Laff Lifetime Lifetime Real Women LMN MYTV The CW TVO Viceland Number of devices 1 2 CCT Live Silver $30 Up to 2 users | $10 per device Includes Bronze Channels AMC A&E Animal Planet BBC America BBC World BET CBC Discovery Discovery Home & Health Discovery Kids DIscovery Science Discovery Theatre Discovery Turbo Discovery World DISNEY Channel DISNEY Junior DISNEY XD ESPN ESPN2 Investigation Discovery ID MTV MTV LIVE MTV2 Nick Jr Nickolodeon OWN TLC Univision VH1 Caribbean Number of devices 1 2 CCT Live Bronze $15 Up to 1 user | $10 per device 284 Media 3ABN ABC Baby First Bloomberg CALA Weather CBS EWTN FOX NBC One Caribbean PBS TBN Telemundo The Weather Channel Number of devices 1 Leave this field blank
