Please complete the following form to apply for Local Telephone Service from Carr Communications/Carr Telephone Company.

Once you submit the form, you will need to complete a credit report authorization form in order to complete the application process.

BILLING INFORMATION

(Bill will be sent to this address)

First Name (required)

Middle Name/Initial (required)

Last Name (required)

Address (required)

City (required)

State (required)

ZIP Code (required)

Business Name (required)

Tax ID(required)

Your Email (required)


911 SERVICE ADDRESS

(Where service will be installed)

Unit Number and Direction (required)

Street Name (required)

County (required)

Township (required)

Contact Telephone Number(required)


EXTRA SERVICE REQUESTED AT INSTALLATION TIME


LONG DISTANCE CARRIER CHOICE

I choose Carr Communications as my long distance carrier.I choose another provider for my long distance carrier. (You will need to contact other carriers directly to set up long distance service.)