CapTel Customer Profile - California Relay

1. Customer Information

Home Phone Number

Cell Phone Number

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email Address

any Home is:

Mailing List Signup

Please include me on the Hamilton Relay mailing list.

2. Long Distance Company

You will not be charged for local or long distance calls. However, there are situations when payment is necessary. That includes:

International Calls
Directory Assistance
Pay Phones
Pay-Per-Call Services

Please choose your long distance company from the list provided. If you leave this blank, your bill will come from AT&T.

My long distance company is:

3. Restrictions

Select the types of calls that you do not want made from your telephone. If you check any on this list, you will not be able to make those types of calls through Relay.

Restrictions

900/976/800
International
Directory Assistance
Operator Assistance

4. Notes

Provide any additional call handling instructions or information for the CA here:

You’re Almost Finished!

Thank you for completing your California Relay Customer Profile. If you have any questions about your Profile, please contact Customer Care. To print a copy of this form for your records, go to the File menu of your browser and select Print before submitting the form. Your Customer Profile should be activated within 24-72 hours of receipt. All customer information is kept confidential. If you are satisfied with your Profile and ready to submit your information, click on Complete My Profile below.