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Notice: Phone service will not actually get connected until reciept of check or money order Please see our customer service agreement.
Name Address If you live in a rural area please provide brief instructions to get to your residence.
Your phone bills will be sent to the address above unless you specify below Please connect my connect my telephone service to the address above but send my bill to the address below
Address
Place a check mark in the box to the left if you want the option
The Caller ID option requires a $10.00 setup fee - Caller ID box is not provided by DVC Telecom of Texas
Phone number where you can be reached "You may call us if you do not have a number"
Please provide previous phone number and name of phone company
DVC TELECOM OF TEXAS will be responsible for providing telephone service to your dwelling or business. DVC will NOT be responsible for the internal wiring, jacks, individual telephone connections or any other parts, telecommunications devices or data connections. DVC will provide repair services at a nominal cost or provide a list of independent telephone repair companies. You may also choose any individual or company of your choice to provide these services at your own expense or risk. Telephone equipment of any type is not provided as a part of this agreement. All telephone equipment or the purchase and maintenance of that equipment is the responsibility of the customer. As a customer you are not required to purchase any equipment from DVC or any authorized agent of DVC. By signing below, I stipulate that I understand the statements and agree to abide by the conditions outlined on this form and by the CUSTOMER SERVICE AGREEMENT.
By entering your name your are bound by the conditions of this agreement. Office use only PON