NPT-LD

NPT Long Distance Sign-up

Please complete the form below and click the submit button. Your order will be sent to a Customer Service Representative who will contact you via the daytime telephone number that you provided to confirm your order.

Note: FCC rules require companies to obtain your clear permission prior to changing your long distance service. You can give permission to change your long distance provider by calling our Customer Service Department and having a third party verify the switch or you can complete a Letter of Authorization (LOA) and mail or fax it to us. Click here to view and print the LOA.

If you have any questions, please call our Customer Service Department at (574)831-2176.

Personal Information

Name:

Address:

PO Box:

City:

State:

Zip:

SS or Federal ID#

Email:

Daytime Phone:

Current NPT Services (check all that apply)

	New Paris Telelphone Service
	NPT 800 service
	New Paris Telephone DSL
	Brightnet DSL or Dial-up
	Brightnet / Quality Cablevision Cable Modem Service
	Quality Cablevision Cable TV

Long Distance Service

Fill in your phone number(s) with area code & check the types of long distance service you would like.
Telepone number	Domestic Long Distance Only	Both Domestic & International Long Distance

800 Service (fill out only if you want 800 service)

We can also process 800 numbers for you! There is no charge to set it up, if we pick the 800# for you & it’s only 12 cents per minute on incoming 800 calls to your home or business!

Another option would be to choose your own 800# and the set up fee is $25 if the 800# you’ve chosen is available. If you’re interested in getting 800 number service, please fill in the phone number below you’d like it to ring to.

I want to pick my own 800 Number

Yes
No

If yes please enter the 800 number you would like:

(NPT will contact you if this number is not available)

800 Number Service – phone # I would like it to ring to is:

(ie home number)

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