Dunkerton Telephone Cooperative
701 S. Canfield Street
PO Box 188
Dunkerton, IA 50626

Dunkerton Telephone Cooperative Application for Service

Date: ___________________

Name: ________________________________________ SS#______________________

Address :__________________________________ Po Box:___________________

Assign Number:  (319) 822-_______              

      Listed                  Unlisted        

   Resident Line        Business Line  

Interlata:____________________________ Intralata:_____________________________

====================================

CALLING FEATURES

 Wire Maint.  (501) $0.50                                   

   Caller ID (310)     $0.50                        

   Caller ID Block    included                                  

   Caller ID Unblock   included

   Call Waiting Caller ID included                      

   Call Reject (354) $1.00

   Call Waiting (330)   Free

  Cancel Call Waiting Free

   Call Forward   (320)$1.75

   Call Forward Busy included

   Call Forward No Answer included

   Call Forward Fixed included

   Remote Call Forward include

   Selective Call Forward included

   3 Way Calling (300)   1.75

   Voice Mail (220)  $2.50

   SPD Dial 30 Digits (342)   $5.00

    SPD Dial 8 Digits (340)   $2.50      

   Call Transfer (353)   $0.50

 Call Block (344)    $1.00

  Call Trace   Free

   Distinctive Ringing (346)   $1.00

   Selective Call Acceptance (347)   $1.00

    Priority Call (348)   $1.00

  Call Back (349)        $1.00

  Warm Line (350)      $0.25

   Call Return (351)   $0.50

====================================

INTERNET

    256 K $29.95

    DSL   $55.00  (206)

    3 MEG $75.00

    5 MEG $99.00

====================================

CABLE TV

ANALOG BASIC  $41.95

  DIGITAL BASIC  $62.99

HD PROGRAMMING $9.99

====================================

OFFICE USE ONLY

    Membership (964)   $10.00

    Service Order Charge (882)   $8.00

    Central Office   (819)   $11.00

    Deposit _____________

Membership Number   _____________

    Service Order

    INS

    Switch

    Cable Book

    911   Form

    ECSC

    Capital Credit

    Customer Deposit Screen