Mokan Dial, Inc.

Long Distance Carrier Selection & Preferred Carrier Freeze

A Preferred Carrier Freeze means that the Carrier you have designated for Interlata and Intralata will NOT be changed by MoKan Dial, Inc. unless you request that the Freeze be lifted. This request to release the Freeze must come from the customer and may be written or oral. If an oral request is made the Telephone company will require either date of birth or Social Security number for verification. Any Carrier changes (PIC) received by Telephone company will be rejected unless the Freeze is released.

Completing the form below authorizes Mokan Dial, Inc.to place a Freeze on any PIC changes to the number you complete below.

Fields Marked with an * are required.

Date:
*Freeze Phone Number:
*D.O.B. or SSN:

You can also locate this form in the menu to the right if you wish to print, complete, and mail or deliver to the business office.

*Please choose a long distance carrier from the list below for INTERLATA calls. Mokan Dial, Inc. offers Block of Time plans, flat rate plans, and Unlimited Long Distance plans. To take advantage of these plans you must choose MoKan Communications from the list below. For questions, please contact the appropriate long distance carrier. Contact information can be found to the right under "Additional Kansas Information".

*Please choose a long distance carrier from the list below for INTRALATA calls. Mokan Dial, Inc. offers Block of Time plans, flat rate plans, and Unlimited Long Distance plans. To take advantage of these plans you must choose MoKan Communications from the list below. For questions, please contact the appropriate long distance carrier. Contact information can be found to the right under "Additional Kansas Information"