Application Form

For Residential Service, please fill out this section:
You may also download our Print/Fax format available in Word format.

Requested starting date for service		(format: 01/10/2007)
Complete Name
First	Middle	Last
E-mail Address
Address
StreetApt/Suite #
City	State	Zip
For Business Service, please fill out this section:
Complete Business Name
Address
StreetApt/Suite #
City	State	Zip
The following sections must be completed by all:
Current Phone Number Alternative Phone Number
Directory Listing How you would like to be listed		Listed Unlisted ($2.99) Listed Unlisted ($2.99)
Basic Phone Service
		Monthly Charges
Residential*		$12.59
Business/Single Line*		$25.16
Business Trunk / Key Line*		$35.79
Line Hunt Service		$3.00 per line
Additional Listing(s)		$2.99
*Plus applicable federal and state charges.
Custom Calling Features (Per Line)
Anonymous Call Reject		$3.00
Auto Call Return		$3.00
Auto Busy Redial		$3.00
Call Delivery Block		$3.00
Call Forwarding		$3.00
Call Forward Busy		$3.00
Call Forward No Answer		$3.00
Call Waiting		$3.00
Cancel Call Waiting		Free
Caller ID		$6.00
Call Waiting ID2		Free
Speed Call 8		$3.00
Speed Call 30		$3.40
Three Way Calling		$3.00
Voice Mail		$6.00
1Cancel Call Waiting is implicit within the Call Waiting service. 2Call Waiting ID must pay rates for both Call Waiting and Caller ID.
Multi-Feature Discount
25% - Choose 4 or more calling features (excluding Cancel Call Waiting and CaLL WAITING ID)
RTU Long Distance Rate
RTU Flat Rate		First Minute Free, then $.14/minute
RTU 10 Cent Rate		$3.95/month + $.10/minute
Local Advantage 300		300 minutes for $9.00, then 13 cents per minute
Local Advantage "Unlimited"		$27.00
Other Carrier:
Internet Services (Residential monthly charges)
Internet (64K) Free Modem Rental Fee $15.00 Internet Light   $17.95    w/ Cable TV $10.00 Internet Basic $38.95    w/ Telephone $5.00 Internet Premium $51.95    w/ All Services Free Business Service $99.95    w/ Telephone(s) $79.95
RTU Cable TV (monthly charges)		View the RTU Channel Lineup
Basic Cable Service		$39.95
Limited Cable Service		$13.95
1 Premium Channel		$10.00
2 Premium Channels		$18.00
3 Premium Channels		$25.00
Select from the following Premium Channels:
HBO   Showtime/The Movie Channel   Starz/Encore
I authorize the release of this information to RTU and agree to their terms & conditions.