Chambercomm -Long Distance Signup!

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866.333.2666

Personal Information

Complete the following information as it appears on your local phone bill

Telephone Number:
The main telephone number that you are signing up.

Name of Your Local Phone Company :
(not your long distance carrier)

Your Current Estimated Monthly Bill (tell me more)

Mr. Mrs. Ms.

First Name:

Last Name:

Address:

Apt:
(if applicable)

City:

State:

Zip Code:

E-mail:

Password:
(Only for existing Users)

Additional Phone Lines (fax, etc.)
No Cellular Phones

1.	( ) - - (optional)
2.	( ) - - (optional)

How did you hear about Chambercomm?

Select YourServices

	Select Perferred Billing Method:
	Electronic - 4.9 ¢/min.
	Paper - 6.5¢/min.
	Add a NEW toll-free number - low rates on all of your inbound calls! (You will be contacted by Customer Service to set up this service.)
	Transfer a current toll-free number to Chambercomm (Please call us to add more than one toll-free number.) ( ) - -
Add	Add Travel Calling Card(s) billed at 9.9¢/min for all calls. No Fees. In - State Long Distance at 8.9¢/min. Click here to View our low international rates.
ChamberComm will serve as your Local Area Long Distance Provider (Local Toll Calls). Local Toll Calls span greater distances than local calls, but fall short of being long distance calls. Local Toll Calls are sometimes referred to as regional toll, shorter distance or local long distance calls. Selecting this option will allow your Local Toll Calls to be billed by Chambercomm at Chambercomm Instate Rates. Click here if you DO NOT want Chambercomm to handle local toll calls.

Payment Method - If you selected electronic billing please complete this section.

Credit Card Type:
Credit Card Number:
Expires:	/
Card Validation Code:
Confirm Card Validation Code:
Issuing Bank:
If you selelcted paper billing please provide your Social Seucrity Number:
SSN:	(please read our credit policy)

	Yes, I am ready to save on my Long Distance calls! I have read the terms below and authorize Chambercomm to switch my Long Distance carrier.

For assistance or order status, please contact us at 800.323.4587 or care@chambercomm.net.

Please read the terms and conditions for this online offering:

Thank you for choosing ChamberComm as your long distance provider. We are absolutely certain that you will notice the superior quality of our carrier's 100% digital fiber optic network.

By clicking the "submit" button above, I hereby authorize ChamberComm's selected carrier, US Fibercom to provide long distance services on the phone line(s) or other services listed in this Agreement and to act as my agent in all matters related to providing the services, including intra-lata service. I understand that I may select only one primary long distance carrier for each calling area for each number. I further agree that should I decide to terminate service with US Fibercom, I must provide US Fibercom at least thirty (30) days notice prior to termination. I attest that I am the person authorized to order services on the phone line(s) listed in this Agreement. Service is provided under terms, conditions and rates set forth in applicable tariffs, which are subject to change. ChamberComm or its authorized carrier shall not be liable to any person or entity for any special, incidental or consequential loss or damages. This Agreement and the current tariffs of US Fibercom constitute the entire agreement between the parties. ChamberComm pre-subscribed customers can cancel their service by contacting their local telephone carrier, whose phone number is listed on their local telephone bill. Additional help and resources are available by calling ChamberComm Customer Service at 800.323.4587. I understand that there may be a one-time charge by my local phone company to change long distance carriers. I also understand that I can be held responsible for any fraudulent usage. I guarantee US Fibercom the faithful payment, when due, for all charges incurred for services provided together with all pertinent federal, state, and local taxes. If payments are not made when due and attempts made by US Fibercom to collect such payment are not successful, regardless of the type of billing selected, customer's credit card or checking account may be charged without further notice to customer. I further understand that if valid credit card authorization is not submitted with this order and my account is past due, US Fibercom reserves the right to terminate service. By clicking the button above, I acknowledge that I have read understand this agreement.

For E-Bill customers: By submitting my valid credit card information, I hereby authorize all monthly charges for services listed above to be charged on the above listed credit card or electronically debited from the above listed checking account. These charges will be billed by US Fibercom or its affiliates. My credit card or bank statement will read US Fibercom or affiliates for all charges or debits. The aforementioned authorizations shall remain in effect until cancelled in writing.

A Universal Service Fund Charge (USF) will apply to your monthly recurring/usage charge, interstate and international usage. This charge started on January 1, 1998 as part of the FCC overhaul of telephone fees. All companies that provide telephone service between states pay a set percentage of their previous year's billings. The charge is designed to ensure affordable access to telecommunications services for telephone customers with low incomes, telephone customers who live in areas where the cost of providing telephone service is extremely high, libraries, schools, and rural health care providers. All other required local, state, and federal taxes will also apply.

ChamberComm will credit PIC Change charges - one-time charges made by your local phone company to change long distance carriers - (up to $5.00 per line) to your account after service has been active with US Fibercom for at least ninety (90) days. All customers MUST present their bill for proper credit to be issued.

Please allow 7-10 days for processing with your local phone company. For order status, contact Consumer Service toll free at 800.323.4587.

© 2003 ChamberComm®. All rights reserved.

This Web site has been prepared solely for the purpose of providing information about ChamberComm and the services and products it offers. This Web site has been compiled in good faith by ChamberComm. However, no representation is made as to the completeness or accuracy of the information it contains. In particular, you should be aware that this information may be incomplete, may contain errors or may have become out of date. ChamberComm reserves the right to add, modify or delete any information in this Web site at any time. This publication and any references to products or services are provided "as is" without any warranty or implied term of any kind.