HomeFone

Non-Lifeline Application
*Required Information

Applicant Information:

First Name:	*
Last Name:	*
Contact Number (work, neighbor, cell, etc.):	Ex.(5048350100)*
Service Address:	*
Apartment, Unit, Lot Number:
City::	*
State:	Louisiana
Zip Code:	*
Email Address:

Mailing Address If Different:

Mailing Address:
Mailing Apartment, Unit, Lot Number:
Mailing City:
Mailing State:	Louisiana
Mailing Zip Code:

Current or Previous Number?

Current or Previous Phone Number:	Ex.(5048350100)*
In Whose Name:	*
Keep Number:	YesNo
Was Number Unlisted:	YesNo

*Select A Plan:

FIRST MONTH FREE
for new customers

VALUE PACK

call waiting, caller I.D.

monthly service: $52.70 with tax & fees

first month: $70.00*

FOUR PACK

call waiting, caller I.D., 3-way, call return (*69)

monthly service: $58.00 with tax & fees

first month: $70.00*

EIGHT PACK

call waiting, caller ID. 3-way, call return (*69)

forwarding, tracing, speed call, call blocking

monthly service: $63.30 with tax & fees

first month: $70.00*

LOW FIRST PAYMENT
for new customers

PLUS PACK in ZONE 1

all 8 calling features plus 40 mile radius dialing

monthly service: $66.61 with tax & fees

first month: $96.61

PLUS PACK in ZONE 2

all 8 calling features plus 40 mile radius dialing

monthly service: $77.21 with tax & fees

first month: $107.21

PLUS PACK in ZONE 3

all 8 calling features plus 40 mile radius dialing

monthly service: $81.32 with tax & fees

first month: $111.32

first payments include a $60 connection fee less a $30 Link-Up subsidy, homefone promotinal discounts and a $8.25 Lifeline subsidy

ADD LONG DISTANCE TO YOUR PLAN

2000 minutes, 48 States - Monthly $12.00

ADD NON PUBLISHED

Non Published - Monthly $6.00

I acknowledges that this service does not allow making inter or intrastate long distance, toll, operator assisted, directory assistance, or 900 per usage calls, or making or receiving collect, third-party billed or any other type of per usage calls. My signature gives my consent for homefone to establish service or switch my service from my current provider and view my current customer record and to prohibit a change away from homefone as my local service provider. I am authorized to make this decision. I understand that failure to make payments by due date may cause service to be suspended and/or disconnected.

*Signature:

(Please Sign By Typing In Your First and Last Name)

After submitting this application, please call HomeFone to provide your Credit Card Payment Information!

Site designed & maintained by Hands Free Help Technologies | Copyright© 2009
No portion of this website or artwork portrayed herein may be redistributed of republished without the expressed consent of HomeFone.