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LongDistanceSmart.Com Long Distance Analysis Request Form

Long Distance Analysis Request Form

Please fill out this form to receive your free analysis on
how to save the most on your long distance bill.  Filling out this
form will not result in the switching of your long distance service
and you are under no obligation to follow our recommendations.
We return our recommendation within 24 hours!

The information submitted is only used to supply you with a
lowest cost recommendation for your long distance service.
The information will never be given to any third party. 

              your name: 
         e-mail address: 
           phone number: 

Which services are you interested in? (check ALL that apply)
1+ Long Distance
Domestic Calling Card
International Calling Card
DialAround Long Distance
DialUp Internet Service
Pager
Satellite TV

If other, please specify:    


What is your monthly interstate (state-to-state) 
long distance usage? (in minutes)

                                        
What is your monthly in-state long 
distance usage? (in minutes) 

                                        
What is the typical duration of your
long distance calls? (in minutes) 

                                        
Are you willing to pay via credit 
card and view your bill online to 
avoid a monthly fee?  


Please tell us what international destinations you call
and an estimated monthly usage (for each) in minutes:



Which long distance service do you currently use?   

              If other, please specify:    


Place any further comments here: