LETTER of AUTHORIZATION

With this signature, I, authorize Rural Network Services to notify my local telephone company to switch my long-distance to RNS, for the following jurisdiction(s):

JURISDICTION (AREA):	Intra-State	Inter-State
	(In State)	(Out of State)

PLAN:	Traditional	R-Plan
	(no monthly fee)	(3.95/month, reduced per min. rates)
Flat rate measured service plans :
$20.00 Domestic* - over 250 minutes billed at $.10/min.	$30.00 Domestic* - over 500 minutes billed at $.10/min.	$50.00 Anywhere – Covers all Long Distance calls. Over 200 min. billed at $.10/min.
* Extended areas (Alaska, Hawaii, Puerto Rico, etc.) and International calls billed at posted rates.

RATES APPLY TO CONTIGUOUS US ONLY
PLEASE SEE NORTH AMERICA, INTERNATIONAL AND CALLING CARD RATES FOR OTHER CURRENT RATES.

I understand that the long-distance service will apply ONLY to the telephone numbers listed below at the address indicated below. I also understand that only one long distance company, per jurisdiction indicated, may be designated for each telephone number. My local telephone company may charge a fee per jurisdiction to switch my long-distance service.

_____________________________      _____________
Authorized Signature:                                    Date:

_____________________________
Name: (Please Print)

Telephone Number: (_____) ___________________

Additional Phone Number(s) (To Have RNS Long Distance) ___________________ ___________________

PIN Number for Calling Cards: __________ (4 digits) Number of Cards: ____

Residential Address: ___________________________________________________

City, State, Zip Code: ___________________________________________________

Mailing Address: ___________________________________________________
(if different)

Name of Business or Company Requesting Service: ________________________

Referred By: ____________________________ Phone #: ________________

Do you currently have long distance service? ____Yes  ____No

Do you Currently have a PIC freeze ?____Yes ____No

Mail Form To: Rural Network Services -PO Box 167– Weiser ID 83672
Or Fax: 208-414-2603
Questions? rnsinfo@ruralnetwork.net     Contact Us At: 208-414-3000 or 888-355-4767