Anonymous Call Rejection:

NoYes ( + $3.00 )

Automatic Recall:

NoYes ( + $3.00 )

Call Waiting:

NoYes ( + $3.00 )

Cancel Call Waiting:

NoYes ( + $3.00 )

Call Forwarding Busy:

NoYes ( + $3.00 )

Call Forwarding Fixed:

NoYes ( + $3.00 )

Call Forwarding Variable:

NoYes ( + $3.00 )

Distinctive Ring:

NoYes ( + $3.50 )

Priority Ringing:

NoYes ( + $3.00 )

Repeat Dialing:

NoYes ( + $3.00 )

Selective Call Rejection:

NoYes ( + $3.00 )

Selective Call Acceptance:

NoYes ( + $3.00 )

Selective Call Forwarding:

NoYes ( + $3.00 )

Three-Way Calling:

NoYes ( + $3.00 )

Three-Way Calling with Transfer:

NoYes ( + $3.00 )

The following features are also available:

Call Forwarding Remote:

CallWaiting/CallerID with name & number:

CallWaiting/CallerID with number:

Caller ID with number:

Caller ID with name & number:

Basic Voice-Mail:

Enhanced Voice-Mail:

Non-Published Phone Number:

Non-Listed Phone Number:

Additional Listing:

Block 1-900 & 1-976:

PIC Freeze (Freeze your long distance carrier):

MH Telecom 800 Telephone Number:

Contract:

HD Enhanced:

HD Premium:

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

Number Of Televisions to Hook-up:

*

Is a TV connected to a surround or stereo system?:

Yes
No

Is there coax cable ran to each TV you are hooking up?:

Yes
No

Located In:

Are you a previous MHTC customer?:

Current
Used to Be
New