INTERNATIONAL CALLING WAIVERFORM

I understand that In-Telecom Consulting is not liable or responsible in any way for any charges on my telephone bill that isthe result of any entity or individual gaining unlawful ac- cess to my networkor system, including any International calls. I also understand that anycharges I incur on long distance, whether it be domestic or International, aresolely my re- sponsibility.

In order to make an International call, you will place the call normallyand then you will be prompted to enter your chosen 4-digitPIN.

My PIN will be:                                                             

TelephoneNumber:                                                     

Customer Name:                                                     

Date Signed:                                                                        

CustomerSignature: