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800# SERVICE REQUEST FORM

A.F.I. LONG DISTANCE SERVICE - SERVICE REQUEST AGREEMENT

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NAME>                            CONTACT>                 TITLE>
STREET ADD>                                          COUNTY>
CITY>                                                 STATE>       ZIP>
BILLING ADDRESS, IF DIFERENT FROM ABOVE>

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

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   -   
  AREA CODE   NUMBER           

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
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