Telegroup
Service Order Form

There are two steps to become Telegroup's customer:

  1. Fill out and send us the form below
  2. Required - Because of intl. credit card fraud it has become necessary to also require you fax a copy of either your Passport or some legal ID. This also protects you by insuring no one other than you is able to use your credit card.)
  3. AND - Also Print out this Service Authorization Form separately, sign it and fax it to : 1-425-702-8758

    4. ALONG WITH LEGAL IDENTIFICATION (example - faxed or scanned copy of passport) & faxed/scanned copy of front/back of credit card used to secure account.
(Only fill in the info on the services in the below web form you are requesting. Leave other service sections blank.)
Company name  City
Contact first name  Country
Contact last name  Province
Title Postal code
Contact phone
(Include City ;amp Country codes)		 Mailing Address
Contact Fax Contact E-mail address
       
Your current international phone bill ($/month) Countries you are
frequently calling to
       
  Method of invoice & payment  
Fill these fields if credit card selected Fill these fields if bank debit selected
Credit card type 
Credit card number
Card holder name
Expiration date (mm-yy)
   
 
Bank name
Bank phone #
(Include country and city code)
Bank address
Bank account #
Bank code routing
 
Global Access request for Callback & Callback VIP & Direct Dial Svcs. Global Acces Monthly Billed Calling Card(s) requested
Expected montly usage ($/month)
Number of lines
Phone numbers to be called back or direct dial #s including country code and area code
 
$/Month Limit per card
# of GA Telecards
Language for GA Card
Global Access Toll Free 800/888 Intl. Service
International # to have toll free directed to:  
Your comments:
For Callback Customers - Minimum Usage Requirement - Because of a finite number of available DID (telephone) lines, there is a $15 minimum monthly usage per telephone line you register to use with callback. This minimum usage requirement can be satisfied by totaling the customer’s aggregate usage on all of Telegroup’s services. For customers who cannot commit to that minimum, we have a service called Global Access VIP, which uses answered signal call and a PIN code.

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