PHONE SIGN - UP

Sign up now for DTI services by completing the form below.  A Customer Service representative will call you back directly to confirm your request. If you have any questions regarding your change to DTI, please contact us at info@pickdti.com or call Customer Service directly at 1-877-742-5384.

Those signing up for DTI Long Distance through this Web site receive $5 in free Long Distance service.

Current Address Where Service is Needed:
Email Address:	(Required)
Customer Name:
Customer Address:
P.O. Box No. (if applicable)
City:
State:
ZIP:
Former Address: please fill out if you haven't lived at the current address for at least 6 months.
Customer Address:
P.O. Box No. (if applicable)
City:
State:
ZIP:
Social Security Number:
-  -
Business or Residential Service:	Business Residential
Term of Service:	1 Year 3 Year 5 Year
Phone Service:
Customer Phone Number(s):	-   -   -   -   -   -
Current Local Phone Company:
Current Long Distance Company:
Do you want Calling Cards? (Continental U.S. calls cost only 15¢/min.)
Yes    No
If so, how many do you need?
Name(s) to appear on Calling Cards:
If you have any Toll-Free Numbers currently, please list them: ($3.75 each per month)
800/877/888 Number	- -
rings to	- -
800/877/888 Number	- -
rings to	- -
800/877/888 Number	- -
rings to	- -
Should we create any new Toll-Free Numbers? ($3.75 each per month)
Yes   No
Should we convert your local service to DTI? (in areas of Minnesota covered by Qwest-U.S. West)
Yes   No
DTI Local/Long Distance Customer:
Anything you want to add to the information supplied above?
NOTE: By pressing "Submit," you indicate consent to the  Terms of Service