Save on international calling now with international callback, virtual calling cards, toll free numbers, and more Alliance Callback Communications - High quality international calling with low rates.
International Phone Calls, Callback Numbers, World Wide Direct Dial, Rates

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Customer Order Form
Name (Person, Company or Organization) :
Contact Person:
Email:
Telephone:
Fax:
Street Address (Please use your credit card mailing address):
Apartment/Suite Number:
City:
State:
Zip/Postal Code: Country:

Payment Information:  Credit Card Pre-Paid/Wire Transfer
Cardholder's Name:    
Credit or Debit Card Type:  Visa  Mastercard  American Express 

NOTE: All credit card accounts are checked for validity. Please allow 24 hours for processing new accounts.

Credit Card Number: 

     Expiration Date:
    

Credit Card Code CVV: 
 

   I hereby authorize Alliance to bill my credit card for all charges generated by my account. I agree to this method of payment, and agree that all sales are final, during the period of time that I subscribe to the services provided by ALLIANCE COMMUNICATIONS. I further agree to promptly notify ALLIANCE COMMUNICATIONS if my credit card is canceled or will be unavailable to be charged for any reason.
 
 Phone Numbers 
(Your Callback Number)
Access Number 
(Assigned by Alliance)
Security Code PIN 
(Assigned by Alliance)
+ (212)
+ (212)
+ (212)
+ (212)
+ (212)
+ (212)

Language choice for voice prompts (please check one): 
English  Spanish  German  French  Portuguese 
Japanese  Italian  Arabic  Mandarin  Russian  Polish  


Special Instructions:


Tel: [1] (800) 918-9881 or [1] (212) 838-1235
Fax: [1] (800) 915-9910 or [1] (212) 813-2085