Residential Calling Features Order Form

Please fill out this form and click 'submit' below if you are currently a residential telephone subscriber with Western Iowa Networks local telephone service and would like subscribe to any local calling features. Calling features enable your phone service to work with Caller ID, Call Waiting, Anonymous Reject, and a host of other options. Choose your options under Individual Features or Personalized Packages.

Name:
Company Name:			If business related, not residential.
Address:
City::
State:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
Zip Code::
Phone:
Secondary Phone
email:
Social Security #:
New Customer		Change Service	Discontinue Service

Individual Features	Monthly Charge	Personalized Packages
Anonymous Call Rejection	$2.95	Choose the package that you want, then check the additional features on the left.
Automatic Recall	$2.95	Caller ID
Call Forward	$2.95	Call Waiting
Call Forward Busy	$2.95	(1=$4.95) (2=$5.95) (3=$6.95) (4=$7.95) (5=$8.95)
Call Forward No Answer	$2.95	Caller ID and Call Waiting
Caller ID	$3.95	(1=$6.95) (2=$7.95) (3=$8.95) (4=$9.95) (5=$10.95)
Caller ID Block	$2.95	All 9 features for only $12.00
Call Waiting	$3.95
Continuous Redial	$2.95
Remote Call Forwarding	$2.95
Selective Call Rejection	$2.95
Distinctive Ring	$3.95
30 Number Speed Calling	$2.95
3-Way Calling	$2.95
Additional Questions:
Contact Numbers: Please leave additional phone numbers where we can reach you.

©Copyright 2004 Western Iowa Networks •Privacy Statement • Contact WIN • Home Page • Site Map