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Complete these questions and get a customized, timely response from prescreened and member referred Businesses that are interested in working with you. You choose the Business that best meets your needs. No Cost.

Who is your current long distance carrier? [required]

None

AT&T

Cable & Wireless

MCI WorldCom

Qwest

Sprint

Verizon Long Distance

IDT Corporation

Americom Long Distance

Other (See Details Field)

How many minutes (approximately) do you use on long distance each month? [required]

Less Than 100

100 - 250

250 - 500

500 - 1,000

1,000 - 1,500

1,500 - 2,000

2,000 - 2,500

2,500 - 5,000

5,000 - 10,000

10,000 - 25,000

More Than 25,000

What are your peak calling times? [required]

Normal Business Hours

Weekday Off-Hours

Days & Evenings

Weekends

What best describes your long distance calls? [required]

Within my state

State-to-state

The U.S & Canada

International

How much are you currently paying for interstate long distance? (Per minute) [required]

If you call internationally, which country do you call the most? [required]

What are your current international rates? (if applicable)

Do you currently have a Service Agreement? [required]

Yes - Less than 6 months comittment

Yes - More than 6 months comittment

Please indicate: [required]

Conference Calling

Prepaid Calling Cards

Standard Calling Cards

Toll-Free Numbers

Other:

10)

What is your monthly long distance budget? [required]

$100 - $250

$250 - $500

$500 - $1000

$1000 - $2500

$2500+

11)

This service is completely FREE to you, however, businesses pay a fee to participate. Please respect their time and money by submitting an accurate and serious request. [required]

I understand a business may call to answer any questions or to setup an appointment.

12)

Comments or Details:

Service Location: [required]

13)

ZIP Code:	-- OR --
City/State

Contact Information:

14)

First Name: [required]

Last Name: [required]

15)

Email Address: [required]

16)

Company Name: [required]

17)

Day Time Phone: [required]
()-x

Evening Phone:
()-

18)

Best Time: [required]

Additional Services

19)

Please select any other services that you need help with finding a quality local business:

Accounting Services

CD Duplication and Replication

Call Center Services

Collection Agencies

Commercial Graphic Design

Credit Card Processing

Market Research

Promotional Products

Search Engine Optimization (SEO)

Shopping Cart Solutions

VoIP Phone - Commercial VoIP Systems

Web Site Development

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IF YOU NEED ASSISTANCE FILLING OUT THIS FORM,
PLEASE CALL 703-651-2060
(Monday - Friday 9am - 6pm EST)

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1. Answer each question
2. Provide contact information
3. Submit your request

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