Long Distance Carrier Freeze Form

Consolidated will prevent any changes to your chosen Long Distance Carrier without your consent. You may remove your Carrier Freeze at any time.

Customer Information

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Date:  

First Name:

Last Name:

Account Number:

Phone:

E-mail:  

Phone Numbers

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Add or Remove Number(s): Select... Add Remove

Phone Number(s):

Characters: (200 remaining)

Choice of Carrier

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For Calls WITHIN Area Code (308): Select... AT&T Communications Birch Telecom, Inc. Broadwing Communications, LLC CenturyLink Communications, LLC Consolidated Long Distance, Inc. Excel Telecom Global Crossing Telecommunications, Inc. Group Long Distance Inc. Incomnet Communications Corporation Lightyear Network Solutions, LLC MCI Communications Services, Inc. McLeodUSA Telecommunications Services, Inc. Nebraska Technology & Telecommunications Inc. Oncor Communications, Inc. OneStar Long Distance, Inc. Pacific Bell Long Distance Palmerton Telephone Co. The Phone Company PowerNet Global Communications Southwestern Bell Long Distance Sprint Communications Company, LP SureWest Telephone T-NET (Cable & Wireless) Tandem Access TelCove, Inc. UCN, Inc. VarTec Verizon Long Distance LLC Verizon Select Services, Inc. Wilsave, Inc. Winstar Communications LLC

For Calls OUTSIDE Area Code (308): Select... AT&T Communications Birch Telecom, Inc. Broadwing Communications, LLC CenturyLink Communications, LLC Consolidated Long Distance, Inc. Excel Telecom Global Crossing Telecommunications, Inc. Group Long Distance Inc. Incomnet Communications Corporation Lightyear Network Solutions, LLC MCI Communications Services, Inc. McLeodUSA Telecommunications Services, Inc. Nebraska Technology & Telecommunications Inc. Oncor Communications, Inc. OneStar Long Distance, Inc. Pacific Bell Long Distance Palmerton Telephone Co. The Phone Company PowerNet Global Communications Southwestern Bell Long Distance Sprint Communications Company, LP SureWest Telephone T-NET (Cable & Wireless) Tandem Access TelCove, Inc. UCN, Inc. VarTec Verizon Long Distance LLC Verizon Select Services, Inc. Wilsave, Inc. Winstar Communications LLC

For INTERNATIONAL Calls: Select... AT&T Communications Birch Telecom, Inc. Broadwing Communications, LLC CenturyLink Communications, LLC Consolidated Long Distance, Inc. Excel Telecom Global Crossing Telecommunications, Inc. Group Long Distance Inc. Incomnet Communications Corporation Lightyear Network Solutions, LLC MCI Communications Services, Inc. McLeodUSA Telecommunications Services, Inc. Nebraska Technology & Telecommunications Inc. Oncor Communications, Inc. OneStar Long Distance, Inc. Pacific Bell Long Distance Palmerton Telephone Co. The Phone Company PowerNet Global Communications Southwestern Bell Long Distance Sprint Communications Company, LP SureWest Telephone T-NET (Cable & Wireless) Tandem Access TelCove, Inc. UCN, Inc. VarTec Verizon Long Distance LLC Verizon Select Services, Inc. Wilsave, Inc. Winstar Communications LLC

I hereby agree and understand that Consolidated is to attend to my account with these Carrier Freeze instructions.