Print out this page, sign it, and fax to 732-229-5293

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My signing authorizes you to switch my long distance, local toll and local telephone service to Metropolitan Telephone Co., Inc. d/b/a MetTel and to act as my agent with my current provider and/or other entities for matters related to my local service. I verify that I am over 18 years of age and I have the authority to request this change in service for the telephone number(s) listed. I authorized MetTel to provide billing for my long distance, local toll and local calls.

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