You may switch
your residential and/or business long-distance telephone service to LifeLine by
following this link.
LifeLine
Long-Distance Telephone Service Form
YES! I agree to become a LifeLine Long Distance Contributor by having a portion of my future long distance billing paid to the programs of My Organization. For that purpose I authorize AmeriVision Communications, Inc./Ameri-Tel to act under my authority as my telecommunications agent in providing "One Plus" long distance service by placing the service orders for the number(s) listed below whenever necessary. I understand that once my application has been processed and approved that I will become a LifeLine customer. The Organization will receive funds on domestic Net Paid billing only, no funds are paid on uncollectible billing. (*Based on AT&T standard tariffed rates, depending on distance and time of call) (Note: Your Long Distance Carrier Will Change. If a carrier change fee appears on your bill, send a copy of the bill to: LifeLine, P.O. Box 12980 Oklahoma City, OK 73157-2980 and we will reimburse you.)
| Christ's Bride Ministries | Estimated Monthly Usage: $ _________________________ |
| SERVICE REQUEST FORM: 82104 Rate Plan C | (Long Distance Only) |
| (Please Type or Print Information) | My Telephone # is (_____) _________________________ |
| Name _________________________________________ | Additional Phone # (_____) _________________________ |
| Address _______________________________________ | Additional Phone # (_____) _________________________ |
| ______________________________________________ | ______ Send me a free LifeLine Calling Card |
| City __________________________________________ | ______ Please contact me so I can take advantage of |
| State ____ Zip Code _____________________________ | competitive business rates, and contribute a portion of my |
| Present Local Phone Co. ___________________________ | business phone bill to CBM through LifeLine also! |
| Present Long Distance Co. __________________________ | Mail to: |
| Signature _______________________________________ | Christ's Bride Ministries |
| Date __________________________________________ | |
| E-Mail _________________________________________ |
P.S. All those who sign up with LifeLine to support Christ's Bride, Ministries, will receive a free pre-paid 50 minute calling card.
If you have any difficulty printing this form, please send an e-mail message to that effect to form@christsbride-min.org.
Thank You Truly
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