Discount Long Distance Telephone
Application Form

Please fill out this form and press the 'Submit Form' button below.
We will call you to confirm your order.
There are no low usage or monthly billing fees.

Name
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail

Please select the types of service you would like:

Outgoing Options:
1+ Long Distance Service (includes our best interational rates) - dial anywhere in the world from your place
No PIC - means you will keep your present provider, and use the 10-10-### or toll free Dial-around for outgoing calls
CallBack - you dial a number, let it ring once, and it calls you back at low rates
This option is especially good if you live in a country with a telephone monopoly or PTT.
TeleCard - you can dial code numbers to use many features from any phone.

Incoming / Toll Free Options:
Issue a New Toll Free Number. Please see if is available.
Move My Existing Toll Free number to Telegroup

 

T1 and DSL (Digital Subscriber Lines):
T1 - multiple outgoing lines and fastest Internet connection - for large organizations
DSL - Internet connection 50 times faster than a modem - for office or home
Basic Information
Your Billing Telephone Number:
Your SSN or Tax ID:
Your Local Telephone Company:
Your Current Long Distance Carrier:

Next step: Telephone Verification

Or print now, and fax or mail completed form to:
C I Corporation
Crystal Plaza One
P.O. Box 2816
Arlington, VA 22202
Tel: (800)669-4570
Fax: (888)892-3660

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