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                  RESIDENTIAL SERVICE REQUEST FORM
        A.F.I. LONG DISTANCE SERVICE - SERVICE REQUEST AGREEMENT
_________________________________________________________________________

NAME>                            
______________________________________________________________________
        EXACTLY AS IT APPEARS UNDER CURRENT BILLING
SOC. SEC. #>
________________________________________________

ACTUAL STREET ADDRESS [NO P.O. BOX]> 
CITY>                                               STATE>       ZIP>
COUNTY>
BILLING ADDRESS, IF DIFERENT FROM ABOVE>

__________________________________________________________________________
SERVICE INFORMATION:

ENTER EACH TELEPHONE NUMBER INCLUDING AREA CODE.  TOP NUMBER SHOULD BE
YOUR BILLING NUMBER.  LIST ADDITIONAL NUMBERS ON SEPARATE SHEET IF 
NECESSARY.

AREA CODE>           NUMBER>
AREA CODE>           NUMBER>
AREA CODE>           NUMBER>
AREA CODE>           NUMBER>

[THE FOLLOWING IS NECESSARY TO INSURE YOUR DISCOUNT]

_____________________________________________________
PRESENT LONG DISTANCE CARRIER

_____________________________________________________
CURRENT DISCOUNT CALLING PLAN

I WOULD LIKE TO ORDER _____  TRAVEL CARDS.

      
SERVICE AUTHORIZATION
_________________________________________________________________________

With this signature I authorize Affinity Fund to change my long distance
carrier for the telephone number(S) indicated.  I authorize Affinity Fund 
to notify my local telephone company of this choice.  I understand that I 
can have onliy one primary long distance company for a given telephone
number and that my local telephone company may impose a charge for this 
and any later change.

________________________________________________________________________
SIGNATURE                                            DATE



____________________________________________________________________
PRINT NAME

SEND COMPLETED REQUEST FORM TO:
OR FAX TO:
(408) 423-0131
LIGHTHOUSE PRODUCTIONS
P.O. BOX 7885
SANTA CRUZ, CA 95060

CONSULTANT ID CODE: 747-0180


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