START SAVING TODAY!!!
To ensure that you realize the maximum savings from Communication Solutions, please take a moment to fill in all the information in the form which follows. This is required in order to complete the transfer to our carrier of choice - Telecom Options. Communication Solutions strives to provide our clients with the best value in the market. We have been successful in negotiating reduced rates for you and wish to make sure that you realize these savings as soon as possible.
THANK YOU for taking the time to provide us with your most up-to-date account information.
* - Required fields
CUSTOMER INFORMATION
Customer Name *
Contact Name
(If different)
Alternate Contact
Title
E-Mail Address *
Daytime Contact Telephone # *
These are contact numbers ONLY and will not be switched to Communication Solutions' program unless you list the numbers in the "Services Required" section below.
Daytime Contact Fax #
PHYSICAL ADDRESS INFORMATION
Physical Address
Street Address *
City *
Province *
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Postal Code *
BILLING ADDRESS INFORMATION (if different)
Billing Address (if different)
Street Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Postal Code
SERVICES REQUIRED
Telephone Numbers to be transferred to Communication Solutions
Telephone Number
Use
Voice
Fax
Modem
Do not enter any spaces or parentheses or hyphens. Please indicate what the line is used for. Choose from the drop down menu. If you have more than 5 numbers to transfer, please call us @ 1-800-637-9158 or e-mail a list of your telephone numbers at info@communicationsolutions.org
Voice
Fax
Modem
Voice
Fax
Modem
Voice
Fax
Modem
Voice
Fax
Modem
Existing Toll-Free Numbers to be transferred to Communication Solutions
Toll-Free Number
Ring To Number
For all your existing toll-free numbers, please download the "Responsible Organization" form. Click here to download the form . "DO NOT FILL OUT ANY INFORMATION IN THE FORM. SIMPLY SIGN THE FORM IN THE AUTHORIZATION BOX AND FAX IT TO: 1-888-431-1333." When you fax back the signed form, you must also include a copy of the page of your current bill showing the billing name and address for the toll-free numbers being transferred.
If you would like a new toll-free number, simply write "NEW" in the Toll-Free Number column and indicate the Ring To Number.
CALLING CARDS
International Card Telus Card ($0.23/min - Cdn/US only)
Please indicate the number of each type of card required. The International Calling Card is for use from International destinations. The other card is for use from North American locations.
North American Card Telecom Options Card ($0.17/min - Cdn/US only)
BILLING INFORMATION
Your Local Phone Company? *
Payment Type
Bill Me
Pre-Auth Credit Card
Pre-Auth Debit
If you wish to pay by pre-authorized credit card or debit, please download this form, complete it and fax back to 1-888-431-1333. Click here to download the form.
Billing Medium
E-Mail
Hard Copy by Mail
E-Mail Address (if using e-mail billing)
Special Notes
By submitting this application, I authorize Communication Solutions to select the carrier of their choice as our long distance provider. I have full authorization to register the above telephone numbers and assume full responsibility for all calls associated with those telephone numbers.
FOR OFFICE USE ONLY
Rep Name
Rep ID #
Rate Plan
Account Codes
None
Non-verified
Verified
Special Notes