Call The World Telecommunications
Inc.
Callback Service Application
Print this page and fax
or mail your application to:
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Tel. 860-677-6562 |
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Call
The World Telecommunication, Inc. |
Personal Information:
| Name: |
Phone: |
| Address: |
Fax: |
| Email: |
Call Back Phone Number
Information:
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Enter the
phone number that the call-back system should call back to. |
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| Country Code | City/Area Code | Customer Telephone Number | Estimated
Usage $ per month |
| |
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Extra Features:
| Do you wish to be
able to change your Callback number? This feature permits you to directly program a new Callback number from your remote location |
Yes | No |
| Do you desire a long distance
calling card? This feature provides 1-800 toll free access from any phone in the U.S. for domestic and international calling |
Yes | No |
| To activate the features please choose a four-digit PIN | ___ ___ ___ ___ | |
|
Remember to record your PIN, or Personal ID Code. For security purposes, we will not fax it, mail it or print it on any document or calling card. The PIN allows you to change your callback number or use the 1-800 service |
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Please circle the language you prefer for your voice prompts.
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English |
German |
Spanish |
French |
Japanese |
Chinese(Mandarin) |
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Credit Card Information: |
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Credit Card Number: |
Expiration Date: |
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Name on Card: |
Card Issuer: |
Agreement:
I, the cardholder, authorize Call The World Telecommunications,
Inc. to charge my credit card each month for actual long distance telephone
services. rendered during the previous month. I request a credit allowence and
I understand that CTW may obtain a credit report. I further agree that in the
event my credit card becomes invalid, that I will provide CTW with a valid credit
card number upon request or pay all outstanding balances owed, including collection
fees incurred by CTW. Disputes must be made in writing, via fax or letter, no
later than 30 days after receipt of invoice, to CTW Customer Service, Call The
World Telecommunication, Inc., P.O. Box 423, Farmington, CT 06043 Tel. 860-677-6562
Fax: 860-677-7107
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Authorized Signature: |
Date: |
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Print Name: |
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