Advanced Network Communications, LLC
111 West Second Street
PO Box 38
Schaller, Iowa 51053

Office: (712) 275-4861
FAX:    (712) 275-4121

 

Residential Telephone Service Agreement

Phone Number_______________________

Name: ____________________________________
Service Address ____________________________________
Billing Address:: ____________________________________
City: ____________________________________
State: Iowa
Zip: ____________________________________
Social Security #: ____________________________________
Employer: ____________________________________

Previous Telephone #:

 ____________________________________

Calling Features
__________ Call ID Blocking $1.50 a month (per line)
   
__________ Select/Call Rejection $3.00 a month
__________ Call Forwarding-All Calls $3.00 a month
__________ Call Waiting $3.00 a month
__________ Select Call Acceptance $3.00 a month
__________ Speed Dial (30 Numbers) $3.00 a month
__________ 3-Way Calling $3.00 a month
   
__________ Hunting (multi-line business only) $4.00 a month
__________ Distinctive Ringing $4.00 a month
__________ Priority/Custom Ringing $4.00 a month
   
__________ Caller ID w/Name & Number $5.00 a month
   

__________ Caller ID Package Includes:

  • Caller ID with Name & Number
  • Call Waiting
  • 3-Way Calling
 $7.00 a month
   

Wire Maintenance Plan
__________ Monthly Cost: $.50   The Wire Maintenance Plan protects you from expenses relating to the inside telephone wiring in your home. If you subscribe to this service, ANC will repair or replace any inside wiring that creates a service problem.

900 Number Blocking
__________ Yes, I would like ANC to block access to all 900 telephone numbers dialed from this phone line. ( There is no charge for this service.)

PIC Freeze
__________ Yes, I would like ANC to enact a "PIC Freeze" on any changes to my long distance carrier. I understand that with the PIC Freeze in place, all requests for long distance carrier changes will be rejected unless notification is received by ANC from the customer prior to receipt of such a request. (There is not charge for this service.)

Total Local Services
ANC Local Telephone Service $__________

*Residential $10.71

*single line access $5.00 + tax

*Business $27.30, each additional line $26.52

*single line access $5.00 + tax

*multi line access $9.20 + tax
Calling Features $__________
Wire Maintenance Plan $__________
Subscriber Line Charge $__________
E911 Surcharge $__________
TOTAL Local Service Charges $__________
*Does not include federal, state and local taxes, or long distance charges that will be added to your monthly bill.

Long Distance
I choose the following company(ies) as my long distance carrier(s):

Name of Inter LATA Carrier: _____________________

 CIC Code _____________
   

Name of Intra LATA Carrier: _____________________

 CIC Code _____________
   
______ ANC 0555  

            Sprint LD Communication
______CIC 0333

(Res) 800-877-4646
(Bus) 800-877-4020

            Excel Communications
______CIC 0752

 (Res) 800-875-9235
(Bus) 800-209-8133

            Working Assets Long Distance
______CIC 0649

 (Res) 800-808-6398
(Bus) 800-789-9253

            Allnet
______CIC 0444

 (Res) 800-482-4848
(Bus) 800-466-4600

            Iowa Communications Network
______CIC 0283

 (Res) 800-572-3940
(Bus) 800-572-3940

            Williams Communications
______CIC 5102

 (Res) 888-465-9516
(Bus) 888-465-9516

            eMeritus Communications (Excel)
______CIC 0457

 (Res) 800-962-4631
(Bus) 800-871-0999

Agreement
In making this Application, the undersigned agrees to the rules and regulations of ANC as set forth in its tariff and Communications Policy, and to the general changes in rules or rates for the service furnished under this Application.
Applicant's Signature: _________________________________
Application Taken By: _________________________________ (emp initials)
Date: ___________/__________/___________

Serving Correctionville