MTel Long Distance Inc.
A Division of Millington Telephone Company
4880 Navy Road
Millington, TN 38053
Letter of Agency
Type of Service Requesting:
200 Free Minutes Clear 20/20 US Direct Super US Direct
I ________________________ choose to have MTel Long Distance Inc. as my long distance carrier for my in-state and out-of-state calling.
My telephone number (s) is ________________________.
Signed by: ________________________ Date _____________
By signing the above, I agree that I am the responsible party for the above telephone number(s). Please
allow up to 2-3 business days for this change to go into effect.
If returning by mail, please return to:
MTel Long Distance
P.O. Box 429
Millington, TN 38083
Please “freeze” my account to MTel Long Distance until further notice.
Yes No
