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NEW CUSTOMERS ONLY PLEASE. If you are already a customer and wish to make changes to your service, please contact your Customer Care representative.

Account Information

*First Name:		*Last Name:
*Address:

*City:

*State:

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*Zip:

Below please enter the phone number(s) you wish to switch to MasterCall (if any).

Primary Phone #:	- -
Secondary Phone #s:	- -
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Contact Information
Daytime Contact #:	- -
Evening Contact #:	- -
E-Mail Address:
*Best time to call:	Morning Afternoon Evening

MCC Service(s) Ordered

	MCC Direct [ Direct dial long distance ]
	MCC Access [ PrePaid long distance ]
	Local service [ NATIONWIDE UNLIMITED $39.95 ]
	Local service [ LOCAL UNLIMITED $19.95 ]
	Local service [ BASIC LOCAL $9.95 ]

My Account Optional Features

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Additional Information
How did you find out about MCC?

	From a friend		TV Commercial
	Radio Commercial		Newspaper/Magazine
	Internet Advertisement		Search engine
	Direct Mail		Other

Special Instructions for MCC//Customer Care:

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