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LOA for Long Distance
If you wish to change your long distance service to Madison, please complete the form below.
LETTER OF AUTHORIZATION FOR LONG DISTANCE SERVICE
I want
MADISON NETWORK SYSTEMS
to be my Long Distance Company for IntraLata (Local Long Distance) Service and
MADISON NETWORK SYSTEMS
to be my Long Distance Company for InterLata (Long-Haul Long Distance) Service. I understand that by signing this form, I authorize Madison Telephone Company to switch me to the above-mentioned carrier(s).
Name*
Address*
City*
State*
IL
Zip*
Telephone Number(s)*
E-Mail Address*
ELECTRONIC SIGNATURE
By checking the box below labeled "I Agree" you:
(1) Acknowledge that you authorize Madison Network Systems to be your long distance company;
(2) Acknowledge that you have read and understand the Terms detailed above;
(3) Are signing this agreement using your electronic signature.
Under federal and state law, an electronic signature like this one is just as binding as manually signing a paper document.
I AGREE*
Type the code from the image
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Madison is a high speed Internet (Broadband), Phone, and Cable TV provider serving the Illinois communities of Staunton, Livingston, Williamson, New Douglas, Alhambra, Hamel, Worden, Prairietown, Dorsey, Holiday Shores, Mt. Olive, Benld, Sawyerville, Mt. Clare, Gillespie, and Bunker Hill. Madison Communications, INC. · Madison Telephone Company · Madison Network Systems, INC.® are registered service marks owned by and used under license from Schwartz Ventures Inc. Using these and other intellectual property such as logos, slogans, trade dress, and graphic symbols on packaging, products, or services requires express written permission from Schwartz Ventures Inc. © 2001 - 2011, Schwartz Ventures Inc., All Rights Reserved.