EMail address..........:(We will acknowledge your order)
(Please provide information for the location the telephone service is to be established)
First Name.............:
Last Name..............:
Address.(911 if rural).:
City...................:
State..................:
ZIP Code...............:
Contact phone number...: (Please include area code)
Driving Directions - Please provide directions to your residence from a nearby cross street.
This is very important for rural addresses. A neighbors telephone number and address is
also helpful.
To confirm your order, and email address we ask you email address below.
This entry will act as your signature confirming your order and intent.
Enter your Internet email address again here:
By choosing "Submit" You have entered into a contractual agreement with
Tele-One Communications, Inc. to act as our communications representative
for all negotiations with Southwestern Bell, Verizon, Valor or Sprint telephone
companies for Telecommunications services.
Under the term of the agreement, and by this letter we do hereby authorize Tele-One
Communications, Inc. To handle all negotiations for service requests, and the issuance of
orders on our telephone service at the above address.
This authorization does not preclude our ability to act in our own behalf to change service
providers.
By pressing "Submit" I hereby authorizes Tele-One to obtain and exchange credit data for
the purpose of establishing, obtaining, and maintaining credit.
If you have questions about your order, please call 1-800-704-0160.
Your order can not be place until you make your initial payment. You must also call
800-704-0160 to provide your Social Security Number, Drivers License Number and
Date of Birth. This information is used for identification only.
If you desire to continue this order press the "Submit" button. You may also place
your order by providing this information in person, by Telephone, Email or Fax.
