Relay North Carolina Customer Database Profile
 
Last Name
First Name, Middle Initial
Email Address
Area Code & Phone #
Street Address
City, State Zip
     
Caller ID Blockage
(Check the box if you DO NOT want to send your phone number to a caller ID device)
 
     
 
 
Long Distance Profile  
Intralata (in state)   Sprint AT&T MCI Other
Interlata (out of state)   Sprint AT&T MCI Other
Prefered billing method   Collect
  Third Party Phone Number
  Calling Card
Phone Number
   
Card Number
     
 
 
Outdial Restrictions  
Long Distance Calls    International   800#   900#
 Operator Assistance    Directory Assistance 		 
 
 
  Phone Numbers Profile  
Frequently Dialed Numbers
Emergency Numbers
Name
 Number
Name
 Number
1   1  
2   2  
3   3  
4   4  
5   5  
6   Blocked Numbers
7   Blocked Number 1
8   Blocked Number 2
9   Blocked Number 3
10 Blocked Number 4
Note: Up to 9 characters per name Blocked Number 5
     
 
         
Answer Type TTY Voice VCO HCO
  ASCII-300 ASCII-1200 ASCII-2400  
Language English Spanish ASL  
           
 
Customer Notes (NOTE: Limit 76 characters per line)
1
2
3