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Telephone Reconnection Application
Type of Order:
Application Date:
Request Date:
Customer Information - Please try to complete ALL fields!
(Note that any incorrect info provided will result in delaying the connection.)
First Name:
Last Name:
Previous/Existing Telephone #:
Physical Address/Legal Land Desc:
City:
Postal Code:
Mailing Address:
(if different than above)

Postal Code:
(if different than above)
Alternate Contact #:
(Number where we can reach you before
your phone is activated)
E-Mail:
Call Features
Call Display    Voice Mail    Call Waiting    Call Forwarding    
Payment Method:   
Remarks:

All you need to do is phone us after you have made your initial payment, plug in your phone and we will call you back with your new phone number. If you have service before hearing from us or are experiencing trouble with your line please call 1-877-336-2274 and we will be happy to assist you. Please note that connection times vary by province and cannot be guaranteed, as they are subject to location and workload.

IF SERVICES ARE CANCELLED AFTER YOUR PHONE HAS BEEN CONNECTED, THERE ARE NO REFUNDS. IF YOU ARE ENTITLED TO A REFUND, IT WILL BE ISSUED FROM HEAD OFFICE.
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Toll Free 1-877-336-2274 Fax 1-705-942-8398
info@phonefactory.ca
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