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Join 011 Communications online now, and receive a one time credit of up to $10 from your home or mobile phone

That's right! If you sign up for 011 Communications Long Distance through our online service, we will apply a credit of up to $10.00 towards your Mobile or Landline International Calling.

011 Mobile Service lets you use your mobile phone to make international calls at the same rate as your home or business line. Please visit www.011mobile.com for details regarding 011 rates.

$10 of FREE mobile or Landline international calling must be used within customer's first two invoice periods balance does not rollover. Rates subject to change, possibly causing variance between mobile and landline rates.

Completion of this form does not designate 011 Communications as your long distance carrier. 011 Communications' representative will use the information you provided to contact customers and confirm orders for 011 Communications long distance service.

First Name/MI:
Last Name:
Address:
City:
State/Zip:	AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWY
Phone #1:	() -
Phone #2:	() -
Fax:	() -
800 Number:	() -
E-mail Address:
Rep Name:
Referred Customer's Phone:	() -
Please list the countries you call every month: