AFTER FILLING IN THE INFORMATION ON YOURSELF OR YOUR COMPANY, YOU ONLY FILL IN THE SECTIONS FOR SERVICES YOU ARE INTERESTED IN ORDERING.

Enter the code appearing AFTER your phone number on your bill (up to 6 digits):

Company Name (or Individual):

(2)If you have different local phone bills (bills that have a different 3 digit number immediately following the main billing phone number at the top of your local bill) that you want to link to one long distance bill, you need to fill out a separate Service Request Form for each group of phone numbers billed on a separate local phone bill, but check this box and list the main billing number to have them linked together.

Combined Billingyes no
Main Billing Phone #: (Include 3 digit number following main number on front page of local bill.)
 

(3)This section is for use if you want to make any changes to the local billing information. If no changes need to be made, enter N/A or leave it blank.

Billing Name (if different from above):

(4)If there is only one line to be switched list it under the main billing number. If there is more than one line you want swtched, that are linked on your local phone bill, list them in the spaces under the main billing number, please be sure to include the area codes.

Lines to be switched to Telecom Association's Recommended carriers:
Main Billing Phone#:

You may list additional phone numbers in Section 8 below if you have more phone numbers than the 15 spaces provided here. Be sure to reference them to Section (4).

(5)Accounting codes are available to subtotal calls by category, individual, or department. Authorization codes are really "verifyed account codes" that require each individual to punch in a preassigned number before a long distance call can be dialed and should be listed on a separate page indicating the users name and the code you wish to follow each user. (Up to 6 digits.) Fax back to: (425)702-8758 or Email these codes for every employee.

Accounting Codes:yes no Authorization Codes:yesno

(6)NO SURCHARGE CALLING CARDS at 17.5 cents - If you are requesting Calling Cards check yes, but be sure to include a 9-digit PIN number for each card. (Most like to use their ss#'s since they already have it memorized.)

Calling Cards:yes no
Users's Name:9-digit PIN:
Users's Name:9-digit PIN: 
Users's Name:9-digit PIN: 
Users's Name:9-digit PIN: 
Users's Name:9-digit PIN: 
Users's Name:9-digit PIN: 

(7)If you currently have an 800 number through a different carrier, you can list it here and it will also be linked to your main billing number, on the same bill. You must be sure to include the address page of your 800 bill. If you do not currently have an 800 number, we can issue you one. In this case, list only the Point to number and we can assign you an 800 number. If you are not requesting 800 service, skip over this section.

800 Service:yesno . If Yes, New 800#1Point to:
Existing 800#1: (800) Point to:
Existing 800#2: (800) Point to:

800 numbers to be switched to Masters Enterprises Carriers:
(800)#1to be assigned Point to: 
(800)#2to be assigned Point to: 
 

(8)FOLLOWME 800 SERVICE- If you would like the personal or business/FollowME 800 Service, check the yes box and indicate how many 800#'s you need. Upon receiving your request we will then help you set up this service and insure that your order is expedited. This insures, if you're a business wanting to attract new U.S. based customers, that you may begin using the assigned 800 number in your marketing material as soon as possible!
Before we call you back, please Download the FollowMe 800 Questions & Answers Page.

Personal/Business FollowMe:yes no . How Many:

(9)INTERACTIVE VOICE RESPONSE - If you are requesting the Interactive Voice Response Service to handle orders and answer questions for your current and prospective customers, please respond by clicking on the yes buttom below, and how many different separate boxes you feel you will need. (If you want a caller to come in through a central voicemail and then be routed to whatever product or service they are calling about, then only 1 box is required. We will create sub-branches from there.)

Be sure to Print our Interactive Voice Response Page before we contact you. This will prepare you for any questions you might have.

Interactive Voice Response:yes no . How Many:

Upon receiving your request we will then help you set up this service and insure that your order is expedited. This insures, if you're a business wanting to begin relieving your in-house staff and customer service people of numerous calls for product/service information, that you may begin using the assigned 800 number and voice response system in your marketing material as soon as possible!

(11)CONFERENCE CALLING MEETME SERVICE - For the lowest cost, high tech way to hold conferencing with as many people listening as your conference requires, and up to 8 people being able to have two way capability, click on the YES button below.

MeetMe Conference Calling:yes no .

For up to 500 people simultaneously being able to listen or speak during a conference, click Yes below.

Conference Calling w/up to 500 Speaking Parties:yes no .

 Additional Information That Is Needed To Explain Above Responses:

As part of our Quality procedures, you may be receiving a confirmation call and/or email. When your order has been fully processed (5-10) working days), you may confirm that your long distance has been connected to Wiltel or Allnet by making a free call to 1-700-555-4141 from each originating telephone line number.

You should hear a recording saying something like, " thankyou for choosing Wiltel (or Allnet), along with a 5 digit code that is that carrier's nationwide access # " .

I hereby agree that upon pressing the SUBMIT button, I authorize the Telecom Association to place my order for the above requested services. I understand that the underlying carrier (meaning Wiltel or Allnet, depending on the services you are requesting on this form) will be the actual provider of my requested service(s), who will then notify my local phone company of this choice for the phone numbers listed on this form. I also understand that when asking Masters Enterprises to switch my direct dialed long distance carriers, I may choose only one long distance company for each phone number and that the local phone company may charge a small fee for this change (usually an average of $5 only for changing 1+ direct dialing long distance companies. Ex.- switching from AT&T long distance to MCI).