NAME_______________________________ SS#__________________________________
911 ADDRESS______________________ CITY________________ STATE_______
ZIP__________
BILLING ADDRESS ( IF DIFFERENT FROM ABOVE)________________________________
NAME OF OTHER ADULTS LIVING AT THIS ADDRESS _________________________________
WHERE TO CONTACT YOU IN CASE OF EMERGENCY #________________________________
TOLL CARRIERS. PLEASE DESIGNATE YOUR CHOICE.
FTC MIN
FTC 100 STATE $5.00 ________ OUT OF STATE $7.00________
FTC 250 STATE $12.50_______ OUT OF STATE $17.50________
FTC 500 STATE $25.00_______ OUT OF STATE $35.00________
FTC 750 STATE $37.50_______ OUT OF STATE $52.50________
FTC 1000 STATE $50.00_______ OUT OF STATE $70.00________
FTC 1250 STATE $62.50_______ OUT OF STATE $87.50________
FTC 1500 STATE $75.00_______ OUT OF STATE $105.00_______
FTC 1750 STATE $87.50_______ OUT OF STATE $122.50_______
FTC 2000 STATE $100.00______ OUT OF STATE $140.00_______
ANYTHING AFTER THE PACKAGE MINUTES WILL BE $.10/MINUTE.
CALLING FEATURES
AUTOMATIC CALL BACK______ AUTOMATIC RECALL____
ANONYMOUS CALL REJECTION____ CALLING NAME AND NUMBER_____
SELECTIVE CALL ACCEPTANCE____ SELECTIVE CALL REJECTION_____
CALL WAITING ID_____ TELEMARKETING SCREENING_____
DEPOSIT FOR LOCAL SERVICE IS $40.00 AND FOR LONG DISTANCE IS $125.00.
DEPOSIT IS DETERMINED BY A CREDIT CHECK OR BY YOU GETTING A CREDIT REFERENCE
FROM YOUR TELEPHONE COMPANY THAT YOU ARE WITH NOW.
INSTALL COSTS FOR NEW:
RESIDENTIAL LINE $11.00 |
BUSINESS LINE $11.50 |
SUBSCRIBER LINE $6.50 |
SUBSCRIBER LINE $6.50 |
E911 $1.00 |
E911 $1.00 |
INSTALL FEE $8.00 |
INSTALL FEE $8.00 |
TAXES $1.86 |
TAXES $1.89 |
TOTAL DUE $28.36 |
TOTAL DUE $28.89 |
.
FOR NEW RESIDENTIAL LINE, WE WILL NEED PAYMENT ON THE ACCOUNT IN THE
AMOUNT OF $28.36, PLUS DEPOSIT, BEFORE THE TELEPHONE SERVICE CAN BE TURNED
ON.
IT CAN BE
TURNED
ON THAT
SAME DAY AS LONG AS IT IS BEFORE 2:00PM.
DEPOSIT TO BE DETERMINED- PLEASE CALL THE OFFICE FOR MORE DETAILS |