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Local Telephone Service Sign Up
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Applicants Name:
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Today's Date:
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Requested Phone Book Listing:
(This is how you would like your listing to look in the phone book.
For non-published please type "Non-Pub".)
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Spouse's Name:
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Message Number:
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Billing Address:
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City:
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State:
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Zip:
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Your Employer(s):
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Your Spouse's Employer(s):
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911 Address:
(This is required to receive service. All customers
must
have a 911 address.)
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What type of service?
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Service Features:
Call Waiting
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3-Way Calling
Speed Dialing
Caller ID
Teen Line
Anonymous Call Rejection
Block 900/976 Numbers
Block Collect Calls
Block Third Party Calls
There are other features available upon request.
Long Distance Choices:
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Long Distance Choice:
You must call and set up billing arrangements with your long distance carrier.
Credit Information:
You must provide a satisfactory letter of credit from your previous telephone company. If you cannot provide this information you will have to pay a customer deposit. If the applicant's credit rating is not found satisfactory a cash deposit will be required.
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