| New Account |
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|
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5.9¢ per minute
state-to-state.
No monthly fee, 24 hours
a day - 7 days a week.
Minimum usage guarantee $10.00
|
5.8¢ per minute state-to-state.
No monthly fee, 24 hours
a day - 7 days a week.
Minimum usage guarantee $100.00 |
5.7¢ per minute
state-to-state.
No monthly fee, 24 hours
a day - 7 days a week.
Minimum usage guarantee $500.00 |
I choose ACN Communications Services Inc.(ACN) to be my
preferred carrier for long distance state-to-state,
in-state and international calls. |
Billing Telephone
Numbers (BTNs)
|
Working Telephone
Numbers (WTNs)
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Local Toll Calling
|
By checking the box under
local toll calling, i am also choosing ACN to be my preferred
carrier for local toll calls for each telephone number
indicated (where applicable).
Current PIC Freeze?
Yes
No
|
CUSTOMER
AUTHORIZATION
|
| I certify that
I am at least 18 years of age. The phone numbers listed
on this and other forms are listed in my name and / or
I am authorized to change the long distance service. My
submission of this form authorizes ACN to act as my agent
to notify my local phone company of my decision to change
from my current long distance service to ACN.
I understand that my local
phone company may charge me a fee to switch long distance
carriers, and that I may designate only one preferred
Interexchange carrier for any one telephone number for
in-state long distance, state-to-state and international
calls. In addition I may designate only one preferred
local toll service provider for any one telephone number
for local toll service(where applicable). I further
understand that to have ACN local toll, I must also
subscribe to ACN for state-to-state, in-state long distance,
and international calling. selection of ACN will apply
to telephone number(s) listed on this form as well as
telephone numbers listed on attached Commercial Service
Request form(s).
Company Name
Date
(mm/dd/yy)
Name / Title
Email
Request additional Commercial Service forms (for additional
telephone numbers).
|
|
SERVICE
LOCATION
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BILLING
LOCATION
|
Company Name
Street Address
City
State
Zip code
Contact Name (first & last)
Contact Phone Number
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(If different from service location)
Company Name
Street Address
City
State
Zip code
Contact Name (first & last)
Contact Phone Number
|
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BUSINESS
OWNERSHIP INFORMATION
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TOLL-FREE
SERVICE: New 8xx or Port Existing
|
Corporation
LLC (Limited Liability Company)
Partnership
Sole Propietorship
Tax ID
SS#
Principal's Information Date
of Birth
First & Last Name
Residential Address
City
State
Zip Code
|
Request new TF#s
1st toll free ring-to #
2nd toll free ring-to #
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Port existing 8xx #s*
*A current copy of 8xx bill must be
submitted to ACN as an Attachment to this form. |
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CALLING
CARD INFORMATION
|
| All
ACN Long Distance calling card codes are system generated.
Please specify the number of cards requested for each
card name. |
|
Name to appear on each card
# of Cards Requested
Name to appear on each card
# of Cards Requested
Name to appear on each card
# of Cards Requested
Name to appear on each card
# of Cards Requested
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