Sign up for Lincolnway Long Distance

Letter of Agency

Name*
First Last
Billing Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Alternate Phone Number
Service Area*
Selection Of Calling Plan*
Long Distance Package
If you have read and understand the terms listed below, please check "I Agree"*
I choose Lincolnway Long Distance as my primary toll provider. My signature authorizes Lincolnway Long Distance, in accordance with Federal Communications Commission (FCC) regulations, to act as an agent on my behalf to switch my long distance toll (interLATA) and/or local toll (intraLATA) to Lincolnway Long Distance. The fees associated with switching to Lincolnway Long Distance will be waived. I understand it is my responsibility to notify my former long distance carrier of my decision to switch. Lincolnway Long Distance uses services from other interexchange carriers to provide toll services. I understand that I may designate only one carrier for each InterLATA and IntraLATA service to the telephone number(s) listed. By signing, I confirm that I am at least 18 years old, a member of the household and authorized to switch toll providers on the telephone number(s) listed above.
- I Agree
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