National Access Long Distance Inc Annual Update 2005.pdf

Date:
The notice must contain the following information:
a. Name of the Telephone Corporation
Corporate Mailing Address
b.Operations Mailing Address (if different)Name
c.Principal Address in Idaho (if applicable)Name
Electronic Address (e-mail)
Address Line #1
Address Line #2
City, State, Zip
Electronic Address (e-mail)
Telephone Number
Notice to the Idaho Public Utilities Commission
Rule 202, IDAPA 31.42.01
Assumed Business Name (if applicable)
City, State, Zip
Address Line #1
Address Line #2
ll telephone corporations (except cooperative telephone corporations) formed since January 1, 1988 must file a notice
before offering telecommunications services in Idaho. These corporations include but are not limited to sellers of MTS or
WATS, resellers of MTS or WATS services, Operator Service Providers, Data Providers, etc. These notices must be
updated at least annually between December 1 and December 31 each year and whenever there is a change in the
telephone corporation's name, address or agent. Please e-mail the completed form to: [e-mail]
Regulatory Contact
P.O. Box 83720
Boise, Idaho 83720-0074
Telephone [phone]
Facsimile 208-334-3762
[e-mail]
.
Telephone Number
Facsimile Number
Electronic Address (e-mail)
Facsimile Number
Address Line #1
Address Line #2
City, State, Zip
d.An agent in Idaho for service of process Name
e.
f
g
Please cancel my price list/tarif
Please cancel my Certificate of Public Convenience And Necessit
Electronic Address (e-mail)
Electronic Address (e-mail) Where possible, please
provide a general or shared mailbox address
Person responsible for compliance in filing of reports and payment of fees due to the Commission or its
Administrators
Name
City, State, Zip
Address Line #2
Facsimile Number
Name
Telephone Number
Facsimile Number
Address Line #1
Name
Person(s) designated as Customer Service contact for the Commission Staff in resolving consumer
complaints, responding to consumer inquiries and answering matters concerning rates and price lists or
tariffs
City, State, Zip
Telephone Number
Toll-Free Telephone Number
Facsimile Number
Electronic Address (e-mail)
Address Line #1
Address Line #2
City, State, Zip
Agent's electronic address
Person responsible for handling consumer inquiries, complaints, etc. by the publi
Address Line #1
Address Line #2
Authorized RepresentativeDate