Annual Report For Competitive Local Exchange Carriers Operating In The State Of South Carolina Form

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ANNUAL REPORT FOR COMPETITIVE LOCAL EXCHANGE CARRIERS
OPERATING IN THE STATE OF SOUTH CAROLINA
COMPANY NAME: ________________________________________________
ADDRESS: _________________________________________________________
CITY: __________________________ STATE: ____________ ZIP: ___________
PHONE NUMBER: ___________________ FAX NUMBER: _________________
FEDERAL ID #______________________________________
**If any of this information changes, the Commission is to be notified at once**
OFFICERS: PRESIDENT: _____________________________________________
VICE PRESIDENT: ________________________________________
TREASURER: ____________________________________________
CONTACT PERSON FOR FINANCIAL AND REGULATORY INFORMATION:
NAME: __________________________________________________
(PLEASE PRINT OR TYPE)
CONTACT'S PHONE: ____________________________________
**If this person changes, you must notify the Commission immediately**

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