In order to subscribe to a Piedmont Communications bundle plan, you must subscribe to Piedmont Local and Long Distance if you are not currently a Piedmont customer.

Yes, I understand by agreeing to this form, I authorize Piedmont Communications. to switch my long distance service (Inter-LATA) and local (Intra-LATA) service to Piedmont Long Distance for the numbers listed. I understand that I may select a different carrier for Inter-LATA and Intra-LATA service.

I understand that my application may be subject to credit review. Piedmont may use any information obtained through this service application or from and credit reporting agencies. I futher understand that Piedmont may reject this application for any reason.

I understand that I may be assessed a fee to switch my primary carrier and that by submitting this form the fee will be paid one time by Piedmont Long Distance.