GlobalTel - Customer Support Form

Customer Support Form

This form should be completed in detail and
submitted electronically, or if necessary by fax.

Fields marked with * are required for processing.

CUSTOMER INFORMATION
Name on Account*
Customer Number*
Access Number - Area code + 7 digit number
Daytime Phone* - Include Country and City code
Fax
Email*

CALLBACK CHANGES

Add CallBack Numbers (new lines)

Cost: $1 for each additional one per month. Include country code and city code.
CallBack Number
CallBack Number
CallBack Number
CallBack Number

Change CallBack Numbers

Include country code and city code in CallBack numbers.

7 digit access number:	Change CallBack Number to:

Cancel Existing CallBack Numbers

Cancel Account Temporarily

Cancel Account Permanently
     In an effort to improve our services,
     please enter your reason(s) for cancellation:

Change voice prompt language to

Activate system for Travel Function

Activate system for Hotel Function

COMPLAINTS / PROBLEMS

Busy signal when dialing Access Number
Getting dead air when dialing Access Number
Cannot change CallBack Number
System does not call back
"Invalid Number" voice prompt
"Low balance" voice prompt
"Out of credit" voice prompt
Repeats "Enter the number to call, followed by the # key."
Line is not clear
Line has echo
Cannot dial US 800 or 888 numbers
Getting CallBack with out accessing the system
Travel/hotel function does not work

BILLING

Billing problem(s). Describe below:

Send customer bill for

Customers can access their GlobalTel statement online. Check your Bill

New Billing Address

Street (1)
Street (2)
City, Code
Country

CREDIT CARD INFORMATION
Submit new credit card info here. Name on card	New Card Type
Card Number	Exp Month	Year

INFORMATION REQUESTS

For more detailed information please send request to

English CallBack User's Manual
Spanish CallBack User's Manual
Portuguese CallBack User's Manual
German CallBack User's Manual
CallBack Rates
English Direct Dial User's Manual
Direct Dial Rates
Using CallBack For Your Modem
Customer Order Form
Travel Function
US 800 Service
Information on Account Balance Function

DETAILS, COMMENTS, OTHER REQUESTS

REPLY PREFERENCE

Please indicate how we should contact you.

Email (preferred) Phone Fax

Email address or phone number *

For security reasons every customer service order must be submitted here. We must have a documented record of your issue with these specific details.
All customer service orders will take up to 24 hours to be processed.
We will reply to the daytime phone, fax, or e-mail when this issue is resolved.
Thank you for choosing GlobalTel and have a nice day!

� 1999 - 2005 GlobalTel TeleCom

Customer Support Form

This form should be completed in detail and submitted electronically, or if necessary by fax.

Fields marked with * are required for processing.

� 1999 - 2005 GlobalTel TeleCom

This form should be completed in detail and
submitted electronically, or if necessary by fax.

� 1999 - 2005
GlobalTel TeleCom