Nsight Long Distance :: Sign Me Up

nsight telservices :: northeast telephone :: netnet :: cellcom :: nsight long distance :: local nsight :: st. paul tower

Sign Me Up

Please complete this sign-up form and we'll handle the change for you at no charge.

Billing Information
Name:
Company (if applicable):
Billing Address:
City:
State:	WI Only
Zip:
Home Phone:
2nd Phone:
Current Local Phone Company:

Options
Exclusive Offers:
Referred by:
	Yes, I would like calling cards.
Check the calling card plan that you would like:
	.18 cents per minute/no call surcharge/$1.00 MRC
	.35 cents per minute/.35 cents per call surcharge
	Yes, I would like toll-free numbers

	Check to Change
List lines to change	Interlata service on this line	Intralata service on this line	Both services on this line

If you have more than 10 lines, please contact us at 1-877-895-1122.

By electronically signing below, I am authorizing Nsight Long Distance to be my long distance service provider. My signature on this form authorizes Nsight Long Distance to act as my agent to notify the local telephone company of my desire to switch my long distance service to Nsight Long Distance.

Additionally, if I have a pic freeze on my telephone line(s), Nsight is authorized to do whatever is necessary to remove the pic freeze for the purpose of changing my long distance service to Nsight Long Distance.

I understand that my local phone company may assess a fee to switch my long distance carrier. Nsight Long Distance will pay the cost of switching my long distance service to Nsight.

This authorizes Nsight Long Distance to switch my long distance service to Nsight Long Distance for all of the number(s) listed above.

Signature (please type your name):
Today's Date:
Nsight Long Distance recommends that you print this form for your records.