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Phone - Residential Local Phone Service

Residential Local Phone Service Sign-Up Form

I. Customer Billing Information


II. Customer Information


III. Optional Calling Features

Click the optional telephone features you want to activate:

$1.50 per month
$.50 per month
$2.00 per month
$1.50 per month
$1.50 per month
$1.50 per month
$1.50 per month
$1.50 per month
$2.00 per month
$4.00 per month
FREE
FREE
$4.00 per month
$2.00 per month
$2.00 per month
$2.00 per month
$3.00 per month

*$50.00 termination fee if services are disconnected before 12 consecutive months.
Prices & Services subject to change.
Adding features and other Mobius products will cause taxes to change.
***If you live in a rural area please write detailed directions to your home to better help us service you.

$000.00
$000.00

Customer initial showing that Customer has been provided, reviewed and accepted Long Distance Plans Terms and Conditions. Information on charges and surcharges (if any) or any changes to these charges or surcharges that are to be paid to us and are incurred by you or by users of your account will be made available to you on the Mobius website [www.mobiusinternet.com] and you agree that this is sufficient notice for all purposes as to charges incurred and paid or to be paid to us.

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