BUSINESS or PERSONAL SERVICE REQUEST FORM


CO. NAME>                                                               CONTACT>                                                                TITLE>
STREET ADD>                                                                        COUNTY>
CITY>                                                                                                                     STATE>                                       ZIP>
BILLING ADDRESS, IF DIFERENT FROM ABOVE>

BUSINESS BANK>                                                                                   BRANCH>                                                                     
ACCT NO>                                                                   CONTACT>                                               PHONE>                                  
BUSINESS OR PERSONAL?>  
TRADE REFERENCE1>                                                                        CONTACT>                                                                                   PHONE>
TRADE REFERENCE2>                                                                        CONTACT>                                                                                   PHONE>
PRESENT CARRIER>                                                                            EST. MONTLY LONG DISTANCE BILL>
FED. TAX ID>
                                                                                        SERVICE INFORMATION:

 HOW MANY NUMBERS>                             LIST BELOW ALL PHONE NUMBERS.  IDENTIFY WHICH LINES
 ARE BILLING TELEPHONE NUMBERS (BTN) NOTE:  YOU MAY HAVE MORE THAN ONE BTN.             ALSO SPECIFY LINE TYPE 
 PER CODE:   F= FAX,  M= MODEM,  V= VOICE.

AREA CODE                NUMBER           BTN TYPE                                AREA CODE            NUMBER           BTN  TYPE
  1.                         -                                                                                                      5.                    -   
AREA CODE                NUMBER           BTN  TYPE                               AREA CODE            NUMBER           BTN  TYPE
  2.                         -                                                                                                       6.                    -   
 AREA CODE              NUMBER           BTN  TYPE                                 AREA CODE            NUMBER           BTN  TYPE                   
3.                           -                                                                                                       7.                     -   
  AREA CODE             NUMBER           BTN  TYPE                                 AREA CODE            NUMBER           BTN  TYPE
4.                           -                                                                                                       8.                      -                   
______________________________________________________________________________________________________________
I hereby authorize Affinity Fund, Inc. or their authorized representative to transfer my long distance line carrier.  I understand that my local operating company may charge a fee to perform the transfer.  I accept responsibility for all changes associated with the above telephone number.

____________________________________________________________________________
AUTHORIZED SIGNATURE                      TITLE               DATE                                              

_____________________________________________________________________________
PRINT NAME

_____________________________________________________________________________



SEND COMPLETED REQUEST FORM TO:                                                                   OR FAX TO:  (408) 423-0131
LIGHTHOUSE PRODUCTIONS
P.O. BOX 7885
SANTA CRUZ, CA 95061

______________________________________________________________________________________________________________
OFFICE USE ONLY       ANI CONSULTANT SIGNATURE              CONSULTANT ID CODE:  747-0180

Remember, this Long Distance calling Plan is GUARANTEED to save you at least 10% of your monthly Long Distance Bill.  If you can show that AFI did not save you at least 10% of your first month's Long Distance Charges with us, send us the bill and you will be paid your ENTIRE MONTHLY LONG DISTANCE CHARGES.  That's a guarantee that means something.