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ICI Long Distance Request Form

CONNECTS.jpg (5756 bytes)

PRICING:

4.9 cents a minute for long distance phone service in the U.S. ANYTIME including Alaska, Hawaii & the U.S. Virgin Islands.
Your fax number is also covered. 

If you are charged by your local carrier to move to QWEST, we will pay your local carrier charges up to $5.  If you are not completely satisfied  we pay up to  $5 possibly required by your local phone company to move you to another carrier.

ICI  will never sell your name or personal information as part of a list.

ICI Long Distance
ICI Calling Cards
Toll Free Number

Sign me up for the ICI Long Distance service on
the following numbers.  Here is information about
my(our) phone lines. ICI will have one of its agents call when it has received this filled-out form at 312-245-1128. 

Name
Company
Title
Address
City, State & Zip
Tax I.D. or Social Security #
Call Back Number ()
Preferred Call Back Time
Phone Line 1 ()
Phone Line 2 ()
Phone Line 3 ()
E-Mail
Fax
More lines list here.
I understand that I must spend  a $15.00 minimum per month.
 No contract
Month by Month (4.9 Cents)
Please tell us your average monthly expenditure:
$15-40  40-100 100-200  200-300+

Once you send this to us,  we will fill in the required
forms, phone you and fax you two pages for your signature.
Please fax those pages back to the number on the cover sheet.
We will call within 24 hours of the work day we receive it.