TELEPHONE  NUMBER:          ()
SUBSCRIBER BILLING NAME: 
ADDRESS:
CITY:      
STATE:     
ZIP:       
DATE:     
 
LOCAL EXCHANGE CARRIER:

PLEASE CHOOSE THE PLAN YOU PREFER:

FLAT RATE OF 12 CENTS            

MONTHLY FEE OF $4.95 PLUS 7 CENTS PER
      MINUTE                                        

IN ADDITION:
  PLEASE SEND ME A CALLING CARD @ 24 CENTS PER MINUTE.


TERMS  AND  CONDITIONS

I hereby authorize NEW ENGLAND MUNICIPAL TELEPHONE ASSOCIATES, LLC to act as agent in all matters relating to the primary inter exchange carrier changes for the telephone number listed above. I understand that by signing this letter of agency, NEW ENGLAND MUNICIPAL TELEPHONE ASSOCIATE, LLC shall become my long distance company and that I will no longer be served by my current long distance carrier. I also understand that my local telephone company may charge me a fee** to switch my primary long distance carrier to NEW ENGLAND MUNICIPAL TELEPHONE ASSOCIATES, LLC.  I further understand that I may designate only one long distance carrier for any one telephone number, and thereby revoke any previous appointments or selections concerning the telephone numbers listed above.

** Send us a copy of your remittance and we'll apply a credit to your first bill.


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