Application for Quotation*

All fields are required
except where noted

 

 

 

Personal Info

 

 

First Name  
Last Name  
Street Address  
Street Address 2
(optional)
 
City  
St    
Zip    
Home Phone 000-000-0000 format  
Work Phone 000-000-0000 format  
E-Mail Address  
       
Prison & Inmate Info    
Prison Facility Name  
City and State  
Prison Phone Number 000-000-0000 format  
Inmate’s Name  
Inmate’s relationship
to you (optional)
other:  
       

Current Long Distance Info

 
How much do you spend each month on collect calls?    
How much is each
prison call now?
dollars per call  
       
How did you find out about Tele-Net's Phone Service?  

How did you find about us?

other:  
       
*The above information will only be used by our company to provide a quotation to you for our Inmate Calling program. Completing this quotation application does not obligate you to purchase anything. You will receive a quotation via email to the address provided above, along with an application that must be returned with a signature for service to be started.  
 

 

   

 

 

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