Date:
*Installation Date:
*Contact Phone:
*Business Name:
Tax ID#:
*Service Address:
*Billing Address:
*Type of Business:
*Accounts Payable Contact:
Publish in directory
Yes
No
Catergory for Yellow Pages:
Please select Calling Features (charges are monthly):
900 Call Block ($0.00)
Collect Block($0.00)
Bill to 3rd No. ($0.00)
Call Waiting ($1.00)
Call Forwarding($1.00)
3 Way Calling ($1.00)
Cancel Call Waiting($1.00)
Speed Dial 8 ($1.00)
Call Forward Busy ($2.00)
CFW No Answer ($2.00)
Automatic Call Back ($3.00)
Caller ID($6.95)
Speed Call 30 ($2.00)
Directory Assistance (411) is available to all customers of Mokan Dial, Inc. $1.00 per call, 2 listings per call.
Call completion is available for an additional per minute rate.
We offer pre-paid and regular calling cards. Prepaid cards are available for under $.04 per minute. Regular
cards are $.20 per minute plus a $.50 per connect charge.
Internet Service is provided to customers of Mokan Dial, Inc. through MoKan Communications, Inc.
Dial-up Service is available to all customers of MoKan Dial, Inc. High Speed (DSL) is available to most customers
limited by distance from Serving Wire Center Equipment. A seperate application is required for Internet Service
Dial up or DSL. No length of service required for Dial-Up. Service charges to activate DSL are waived if a one year
contract is signed. All necessary forms can be found at our menu to the right, or at the Mokan Communications website.
*Please choose a long distance carrier from the list below for INTERLATA calls. Mokan Dial, Inc. offers Block of Time plans, flat rate plans, and
Unlimited Long Distance plans. To take advantage of these plans you must choose MoKan Communications from the list below. For questions, please
contact the appropriate long distance carrier. Contact information can be found to the right under "Additional
Missouri Information".
No PIC -9999
MoKan Communications -9050
Broadwing Telecom -0071
Qwest Communications -0432
WESTEL, Inc. -0085
Excel Communications -0752
CGI LongDistance -0778
Sprint Communications -0333
Global Crossing -0444
*Please choose a long distance carrier from the list below for INTRALATA calls. For questions, please
contact the appropriate long distance carrier. Contact information can be found to the right under "Additional
Missouri Information"
No PIC -9999
Global Crossing -0444
MoKan Communications -9050
Broadwing Telecom -0071
CGI Long Distance -0778
MCI WorldCOM -0555
WESTEL, Inc. -0085
SBC -5792
UNIDIAL -5957
Excel Communications -0752
EMERITUS -0457
Matrix Telecom -0780
Sprint Communications -0333
Qwest Communications -0432
Verizon Select Serv -5483
If you have selected MoKan as your Long Distance carrier, please select from one of the following calling plans
Please Choose One Option
Block of Time Plans**
If you have selected MoKan as your Long Distance carrier, please select from one of the following calling plans
Please Choose One Option
Block of Time Plans**
$4.00/One hour and $.08 per additional minute
$40.00/25 Hours and $.08 per additional minute
$25.00/15 Hours and $.08 per additional minute
Flat Rated Plans
$5.95 Monthly Fee $.05 per minute
$3.95 Monthly Fee $.10 per minute
No Monthly Fee, $.15 per minute
***Block of Time Plans are for “Intralata” direct dialed calls. For Freeman Customers this would be calls to 913, 816, or 660 area codes. Calls to Internet Service Providers do not qualify for discount. Flat rated Plans are calls anytime within the 48 contiguous United States. Calls to Internet Service Providers do not qualify for discount
If your current long distance carrier does not appear on the above list, please contact them
for service. It is the responsibility of each individual to notify the carrier of choice to
initiate service.
Directory Assistance (411) is available to all customers of Mokan Dial, Inc. $1.00 per call, 2 listings per call.
Call completion is available for an additional per minute rate.
We offer pre-paid and regular calling cards. Prepaid cards are available for under $.04 per minute. Regular
cards are $.20 per minute plus a $.50 per connect charge.
Internet Service is provided to customers of Mokan Dial, Inc. through MoKan Communications, Inc.
Dial-up Service is available to all customers of MoKan Dial, Inc. High Speed (DSL) is available to most customers
limited by distance from Serving Wire Center Equipment. A seperate application is required for Internet Service
Dial up or DSL. No length of service required for Dial-Up. Service charges to activate DSL are waived if a one year
contract is signed. All necessary forms can be found at our menu to the right, or at the Mokan Communications website.
By clicking the submit button I understand and agree to the following statement: The undersigned makes application
for the above service and agrees to pay established rates for such service. In making this application the Undersigned agrees to
the rules and regulations of MoKan Dial, Inc. as set forth in the Exchange Tariff and in any changes in the rules, regulations, tariffs or rates
for the service furnished under this application. The Undersigned also understands if additional lines are added in the future,
and if one line is disconnected for payment purposes, the other lines may also be suspended. The undersigned is responsible for any and all
long distance charges made from or charged to this account. Monthly rates listed above do not include sales tax.
By clicking on the submit button I agree and accept the above statement.