Long Distance Savings Plan Application Form

*note all fields are required
First Name Last Name
City
Address
 Postal Code
Province
 Email
Phone number/s
 Fax

Do you wish to register an 888/800 number?
   
Do you want conference calling?
   

Do you require a long distance calling card?
   


(If yes, how many?)

Alternative methods of payment are available upon request. (Pre-authorized checking, Telepay & most financial institutions)

Specify your preferred alternative method of payment:
Credit Card    Pre-authorized cheque Not Applicable

I, the undersigned, authorize to register the above telephone numbers and assume full responsibility for all calls associated with those telephone numbers. I agree that if any calls are unpaid after 60 days, West Can may charge the non-discounted amount of the long distance plus any applicable taxes and monthly charges.

I certify that the above information is true and complete and that I have read and fully understand the terms of this registration form.

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What’s New

  • West Can Group offers inbound Toll Free numbers. Not only great for businesses but an economical and convenient method for family members to call home.
  • West Can's Calling Cards are convenient for employees or residential customers when traveling.
  • Ask us how we can partner with your organization to offer your membership fantastic long distance savings! .