Authorization to Change Telecommunications Services
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Choice Computing Services          
Choice Computing Services
Choice Computing Services          
Choice Computing Services          
Choice Computing Services
Choice Computing Services          
Choice Computing Services          
Choice Computing Services
Choice Computing Services          
Your Name
Your Spouse's Name
Phone # 1
Phone # 2
Street Address
Daytime Contact #
Address Line 2
City
State
ZIPCode
Social Security Number
(nnn-nn-nnnn)
Your EMAIL Address
Date of Birth (mm-dd-yyyy)
Current Telephone Provider
Select the Package you prefer:
First Name
Last Name
Phone Listing Preference
Call Blocking Options
Call Blocking Options
Some restrictions and other terms and conditions may apply.  Contact Cavalier or an Authorized Agent for details.  5-cent long distance rate valid for calls originating in the 48 contiguous U.S. states.  Pricing may not reflect current promotional pricing.  Detailed pricing information will be available when you place your order.  DSL service is a best effort service and Cavalier Telephone cannot guarantee the availability of DSL service until your order is completed.  DSL service is not available in all areas or on all telephone lines and is subject to circuit availability.  Actual speeds may vary.  DSL service requires a modem from Cavalier Telephone - shipping is $9.95.  Service activation subject to credit check and approval.  Offer subject to change without notice.  An installation charge may apply for new loops.
Copyright 2004-2005 by Choice Computing Services
All Rights Reserved
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Disclaimer:  All information submitted to Choice Computing Services through this form is private and confidential, and will be used only for the purpose of qualifying individuals for Telecommunications Services from Cavalier Telephone and its agents.  No data obtained from this form will be sold or shared with any other party.
Each package from
Cavalier Telephone

includes these
FREE Features ...
- Voice Mail
- Caller ID
- 3-Way Calling
- Call-Waiting or
       Talking Call Waiting
- Unlimited *69
- Remote Call  Forwarding
- Speed Dialing
- Anonymous Call Rejection
- Call-Forwarding
- Repeat Dialing *66
- 900 Toll Block
- Call Block
Choice Computing Services
is an affiliate of
Cavalier Telephone
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Listed
Non-Listed
Private
Block Collect Calls
Block 3rd Party Calls
Block All 900 #s
Block All 800 #s
Add Telemarketing Block Feature $4.00/mo 1st month free!
Add Cell-Home Connect for $2.00/mo
Add Unlimited Directory Assistance for $9.95/mo
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