Fill out the form with as much information as possible.
Fields marked with an asterisk (*) are
Extenstion (if any)
Last 4 digits of your Social Security Number*
If you have more than 6 phone numbers you would like to switch to Euro Connect, please call
after completing this form, to add them to your account.
Letter of Agency
I hereby select EuroConnect, INC. as my long distance carrier for InterLata and/or IntraLata for all of the phone numbers listed above. I authorize EuroConnect, INC. to act as my agent for changes to my long distance service. I authorize EuroConnect, INC. to notify my local company of the change and switch my service from my current provider. I understand that this is a change in my long distance service and agree to bear the costs, if any, imposed by my local service provider for such change.
I have read and understood the Letter of Agency and agree with the Terms and Conditions of the services selected.
I am over
years old and authorized to make changes to the phone lines listed above.
Terms and Conditions
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