START SAVING TODAY!!!

To ensure that you realize the maximum savings from Communication Solutions, please take a moment to fill in all the information in the form which follows. This is required in order to complete the transfer to our carrier of choice. Communication Solutions strives to provide our clients with the best value in the market. We have been successful in negotiating reduced rates for you and wish to make sure that you realize these savings as soon as possible.

THANK YOU for taking the time to provide us with your most up-to-date account information.

* - Required fields

CUSTOMER INFORMATION

Title:

   
* First Name: * Last Name:
* Daytime Phone: Home Phone:
* E-Mail:  
Street Address:  
City: Province:
Postal Code:    
 

PAYMENT INFORMATION

Payment Option:    
Credit Card Number: Card Expiry Date:

Name as it appears on the credit card:

 
 

CELLULAR NUMBERS TO ACTIVATE

Please list for us cell phone numbers you want to activate:
Number 1: Number 4:

Number 2:

Number 5:

Number 3:

Number 6: