FCC Fees:

FCC Subscriber Line Charge:

Call Forwarding - Fixed:

Call Forwarding - Variable:

Call Forwarding - Busy:

Call Forwarding - Remote:

Call Waiting:

Call Waiting with Cancel:

Distinctive Ring:

Three Way Calling:

Voice Mail - Enhanced:

Voice Mail - Basic:

Toll Control:

Caller ID - Number Only:

Caller ID - Name & Number:

CW/Caller ID - Number Only:

CW/Caller ID - Name & Number:

Automatic Recall:

Repeat Dialing:

Selective Call Rejection:

Selective Call Acceptance:

Selective Call Forwarding:

Priority Ringing:

Anonymous Call Rejection:

Non-Published Phone Number:

Non-Listed Phone Number:

Additional Listing:

Inside Wiring Maintenance:

Do You Want 1-900 & 1-976 Calls Blocked:

PIC Freeze (Freeze your long distance carrier):

Check One:

Downstairs Apartment
Upstairs Apartment
House
Other

Name:

*

Address:

*

InterLATA Interstate:

InterLATA - within 608 area code:

Choose One:

200 Minutes Per Month - $14.00
500 Minutes Per Month - $31.00
800 Minutes Per Month - $46.00
No Monthy Package - $0.10/min
No MHTC Long Distance

Are you a previous MHTC customer?:

Current
Used to Be
New