<%@ EnableSessionState=False Transaction=required%> Boyce Telecom Inc. Long Distance Services application Form

Boyce Telecom Inc. LONG DISTANCE SERVICES application FORM

Name

Company Name

Address

City

Province Postal Code

Email Address

Please register these phone numbers (NPA) XXX XXXX

 

 

 

 

Please send me a Calling Card

Please call me to establish a toll free number

Visa Master Card

Other

Card Number

Expiry Date

 

 

I am authorized to register the telephone numbers in this application and agree to join the Ensync Telecom Program provided by Boyce Telecom Inc. I agree that Ensync Telecom may charge me a 1.5% monthly late payment for all calls, including taxes that are unpaid after sixty (60) days.

All local service and long distance charges are on one monthly invoice.

 

Signature_________________________ Date_________________

Print this application form,. Sign and date the application form and fax it to

767-3946 (Thunder Bay) or (866) 729-9844 (outside of Thunder Bay).

 

Boyce Telecom Inc.

5092 Dog Lake Road

Thunder Bay, ON P7B 5E5

1 (866) 273-2345

Tel: (807) 767-6646

Local Fax: (807) 767-3946

Long Distance Fax (866) 729-9844

http://www.boycetelecom.com/

longdistance@boycetelecom.com

 

 

March 14, 2004