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Call The World Telecommunications Inc.
Callback Service Application

Print this page and fax or mail your application to:

Personal Information:

Call Back Phone Number Information:

Enter the phone number that the call-back system should call back to. If you do not know your country code, please enter the country name.
Country Code	City/Area Code	Customer Telephone Number	Estimated Usage $ per month

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

Please circle the language you prefer for your voice prompts.

English

German

Spanish

French

Japanese

Chinese(Mandarin)

Credit Card Information:
Credit Card Number:	Expiration Date:
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