CUSTOMER INFORMATION
Customer Name:
TNCI Customer Account Number:
8XX Number:
Switched Dedicated / New Customer (Attach Commercial Service Request Form)
Existing Customer
Toll-Free Number is:
New / Port(Attach LOA) / Existing / Total Disconnect of Feature / Change *
* On a change order, this form mustbe completed in its entirety.

* In the boxes below, please check all features that are being ordered for the above toll-free number. For Feature Linking, if you are not using a particular feature, please leave the box blank.

TIME OF DAY AND/OR DAY OF WEEK ROUTING
Day(s) of Week
or All / Start Time / Time Zone / Stop
Time / Time Zone /
Trunk Group
Include DNIS if applicable. / ANI
(Ring-to number)
DAY OF YEAR ROUTING
HOLIDAY
Ash Wednesday / Christmas Day / Christmas Eve / Columbus Day / Day after Thanksgiving
Easter / Election / Good Friday / Hanukkah / Independence Day
Labor Day / Martin Luther King Day / Memorial Day / Passover
Presidents Day / Rosh Hashnah / Thanksgiving / Veterans Day / Yom Kippur
CUSTOM
Routing Criteria:
PLEASE COMPLETE ADDITIONAL INFORMATION BELOW
Day(s) of Year,
All, OR
Holiday / Start Time / Time Zone / Stop
Time / Time Zone / Trunk Group
Include DNIS if applicable. / ANI
(Ring-to number)


Customer Name:
Account ID:
8XX Number:
OTHER ROUTING TYPES:
AREA CODE / NPA/NXX
Routing** / Routing
Blocking / Allow / Disallow / Blocking / Allow / Disallow
NXX / 10 DIGIT
Routing / Routing
Blocking / Allow / Disallow / Blocking / Allow / Disallow
LATA / STATE
Routing / Routing
Blocking / Allow / Disallow / Blocking / Allow / Disallow
**Please attach an excel spreadsheet with area codes to be blocked.
% Allocation / Sprint % / Qwest % / PaeTec % / Other %
Please attach an excel spreadsheet with Terminating / Trunk Group info.
COMMENTS (Please describe equipment below)
Customer acknowledges and agrees that Trans National Communications International, Inc. (“TNCI”) may be providing telecommunication service(s) (e.g. intrastate, interstate, international) pursuant to applicable tariffs governing such services. This form is subject to, and incorporates by reference, the terms of the tariffs and the terms and conditions of service between Customer and TNCI. TNCI may modify the tariffs and/or the terms and conditions of service from time to time in accordance with law.
By signing this form, the undersigned acknowledges and agrees to notify TNCI in writing in advance if any changes to the services are required (i.e. numbers need to be unblocked or new numbers need to be blocked).
CUSTOMER / TNCI
Customer Signature Date / Approval Signature Date
Print Customer Name / Print Approval Name
Title

4.8.2005