Service Request Forms For Low Long Distance Rates (Select Form by STATE)

Select form for your state and then print out.
The service request forms are in TIF format. Just click, view and print, complete, sign and FAX to 800-661-6191 (The FAX # is on the form).

Thanks for your interest,

William E. Russell
Voice Messages to 202.777.2642 x1024 or Inquiry FAXs to 209.828.4049

(Intrastate service is not yet available in AK, CA, CT, HI, ME, NC, ND, SD, or WV)

Service Request Form Most States (Not FL, WY, VT, or TX)

Service Request Form Most States - Both Pages TIF Format (115Kb)

Service Request Form For Florida

Service Request Form Florida - Both Pages TIF Format (112Kb)

Service Request Form For Wyoming

Service Request Form for Wyoming - Both Pages TIF Format (109Kb)

Service Request Form For Texas

Service Request Form For Texas - Both Pages TIF Format (116Kb)

Service Request Form For Vermont

Service Request Form for Vermont - Both Pages TIF Format (109Kb)

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