800# SERVICE REQUEST FORM
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CO. NAME>                                                               CONTACT>                                      TITLE>
STREET ADD>                                                                                                                 COUNTY>
CITY>                                                                                              STATE>                                ZIP>
BILLING ADDRESS, IF DIFERENT FROM ABOVE>

BUSINESS BANK>                                                                  BRANCH>                        ACCT NO>
CONTACT>                                                                                     PHONE>                                
BUSINESS OR PERSONAL?>    

TRADE REFERENCE1>                                                          CONTACT>                          PHONE>
TRADE REFERENCE2>                                                          CONTACT>                           PHONE>
PRESENT CARRIER>                                                   EST. MONTLY LONG DISTANCE BILL>
FED. TAX ID>
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                                                            800 SERVICE INFORMATION:

HOW MANY 800 NUMBERS>                                       MAIN BILLING TELEPHONE NO.>

                                                 LIST BELOW ALL 800 PHONE NUMBERS.  
          AREA CODE   NUMBER             
1.                800   -                  
          AREA CODE   NUMBER          
2.              800   -        
          AREA CODE   NUMBER           
3.             800   -            
          AREA CODE   NUMBER           
4.            800   -   
 DO YOU WANT TO BE LISTED IN DIRECTORY ASSISTANCE?> 
WHAT NUMBER WILL 800 RING IN ON?>
 INTERNATIONAL 800?         YES>                   NO>
AREA CODES OR STATES TO BE EXCLUDED IF ANY>
CANADIAN 800?                       YES>                    NO>
LISTING NAME PREFERRED>
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I hereby authorize Affinity Fund, Inc. or their authorized representative to transfer my long distance line carrier.  I understand that my local operating company may charge a fee to perform the transfer.  I accept responsibility for all changes associated with the above telephone number.

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AUTHORIZED SIGNATURE                      TITLE               DATE                                              

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PRINT NAME

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ANI CONSULTANT SIGNATURE               CONSULTANT ID CODE:  747-0180

SEND COMPLETED REQUEST FORM TO:                         OR FAX TO:        (408) 423-0131
LIGHTHOUSE PRODUCTIONS
P.O. BOX 7885
SANTA CRUZ, CA 95060


Remember, this Long Distance calling Plan is GUARANTEED to save you at least 10% of your monthly Long Distance Bill.  If you can show that AFI did not save you at least 10% of your first month's Long Distance Charges with us, send us the bill and you will be paid your ENTIRE MONTHLY LONG DISTANCE CHARGES.  That's a guarantee that means something.  
