-CONTRACT-
(for printing)

TELECOMMUNICATIONS AUDIT

**IF PROVIDING INFORMATION ON MULTIPLE LOCATIONS,
PHOTOCOPY THIS FORM AND LIST EACH LOCATION SEPARATELY.**

NAME:
ADDRESS:
CITY: STATE: ZIP:

CONTACT:
PHONE NUMBER:
FAX NUMBER:

  1. Please provide at least two (2) Letters of Agency on your letterhead.
  2. Local Telephone Company:
    Local Telephone Company Phone Number:
    Please list account numbers. If more than one vendor is used or if you need additional space, attach a separate sheet of paper.






    1. Long Distance Vendor:
      Long Distance Vendor Phone Number:

      Please list account numbers. If more than one vendor is used or if you need additional space, attach a separate sheet of paper.






    2. Equipment Vendor:
      Equipment Vendor Phone Number:

      Please list account numbers. If more than one vendor is used or if you need additional space, attach a separate sheet of paper.






    3. Cellular Vendor:
      Cellular Vendor Vendor Phone Number:

      Please list account numbers. If more than one vendor is used or if you need additional space, attach a separate sheet of paper.






    4. Please return completed form (s) to:

    Donna Bomnskie
    CACC, Inc.
    32884 IH-10 West
    Boerne, TX 78006
    Phone: 1-800-68-AUDIT
    (1-800-682-8348)