Telephone Access Code Application

Telephone Access Code (T.A.C.) Fill out information and submit via Web or  Print this form and return
 WITH SIGNATURE at orientation check-out or   Mail to:  Lycoming College, Telecommunications 
Office, Campus Box 142, Williamsport, PA 17701-5192 OR FAX: 570-321-4051. It must be received no 
later than three days prior to registration.  EXCEPTION: upper classmen whose TAC# remain the same.

If you desire to make Off-Campus and Long Distance Telephone calls, you will need to apply for a personal Telephone Access Code (T.A.C).

-- mm/dd/yy

Student Name

Please provide the following contact information:

Parents (Guardian) Name

Home Address

Address (cont.)

City

State/Province

Zip/Postal Code

Home Phone

Students desiring off-campus telephone service will adhere to the following:

Present a validated class schedule or college identification card to receive a T.A.C at check-in.
Must adhere to the college telephone operations, rules and regulations.

Local Calling fees:
$.10 for the first 15 minutes /$ .10 for each additional 10 minutes.
800 number call:
$.10 to place an 800 number; no time limit

Set or Accept Credit limits:

The college will set a limit of $200.00 per month or the applicant may specify a lower limit by indicating here. Minimum $25.00. The limit includes only phone usage.

Limit $

T.A.C. number will be deactivated when limit is reached and reactivated the beginning of the next month. Credit limit is monitored by adding current call charges during each month's billing cycle.

Signature_________________________________________
(If printing for mailing, signature is required.)

Parents (Guardian) Name
Home Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone

Lycoming CollegeCopyright © 2001 [Telecommunication]. All rights reserved. Revised: January 25, 2007

Lycoming College
Copyright © 2001 [Telecommunication]. All rights reserved.
Revised: January 25, 2007