Mt. Rushmore Telephone Co.
The above information is correct and is given for the purpose of obtaining credit. Mt. Rushmore Telephone Company is authorized to verify this information and to obtain additional information in reviewing this credit request.
I hereby agree to the rules and regulations of Mt. Rushmore Telephone Company as set forth in its exchange tariff, and to any general changes in rules, or rates for these services furnished under this application. This application becomes a contract when accepted by Mt. Rushmore Telephone Company.