YES, I understand that by signing and returning this form, I authorize Solution Long Distance to switch my interstate and intrastate long distance carrier (PIC) to Solution Long Distance for the numbers listed below.

I understand that my application may be subject to credit review.  Solution Long Distance may use any information obtained from this service application or any credit reporting agencies, to determine credit worthiness.  I further understand that solution Long Distance may reject this application for any reason.

Phone #:(       )_______- ___________________

Phone #2:(      )______-____________________

Name  _________________________________

Address ________________________________

City_______________________Zip__________

Signature _______________________________

 Please check ‘one’ of Solution Long Distance Call Plans