Telegroup's International Service Authorization Form

Fill out and send us this form by e-mail or print out the
Service Authorization form

Company name		City
Contact first name		Country
Contact last name		Province
Title		Postal code
Contact phone		Mailing Address
Contact Fax		Contact E-mail * address
Your current international phone bill ($/month)		Countries you are frequently calling to
Method of invoice & payment

Fill these fields if credit card selected

Social Security Number or ID:

Global Access request for Direct Dial Service,Callback & Internetphone

Expected montly usage ($/month)

Number of lines

Numbers to connect (these are the phone numbers you will be calling from)

Country Code Number

Language Prompt

Your Access Number will be E-mailed or faxed
E-mail Fax

Your comments:

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