WTI LLC, INC.
POVN Long Distance Application
4.9 Cents Per Minute Plan

Account Name    
Mailing Address:    
Physical Address:    
City:
State:
Phone Number(s):
Zip:
     
Local Phone Co.: (Verizon, Quest, etc)
Requesting New 8XX Number:       If Yes, specify Ring to: No.
Existing 8XX Number:    If Yes, What is Existing Number?
                If Yes, What Number Does It Ring To?
SSN or Tax ID:    
Name, Calling Card 1: Select
4 Digit Pin
Name, Calling Card 2: Select
4 Digit Pin
       
I authorize WTI LLC, INC to become my long distance carrier:
       
Signature: ____________________________________
Date:
 ________
   
Agent ID:
 3151007000
    POVN  
       

Fax to 509-447-9220