all the following information before submitting form)
this form, I authorize GeoTel Communication Services, Inc. to act on
my behalf to notify my local telephone company that I am choosing
Geotel as my primary carrier for residential state-to-state,
in-state and international long distance service (and local service
where available) for the telephone number(s) and my local phone
company may apply a small fee for this change. I am authorized to
change the long distance service for the telephone number(s) above.
The undersigned has read, understands, and agrees to be bound by the
terms and conditions
set forth by GeoTel Communication Services, Inc.