MTA Service Forms

Please print and complete the appropriate form and return to MTA. To view these documents you must have Adobe Acrobat Reader installed on your computer.

MTA Service Forms

Authorization Agreement for ACH Payments - Download | View
Automatic Credit Card Payment Authorization Agreement - Download | View
Residential Subscriber Order Form - Download | Order Services Online
Midwest Telecom of America, Inc., Telephone Communications, Merrillville, IN
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Northwest Indiana cities we serve: Portage, Valparaiso, Chesterton, Burns Harbor, Michigan City, LaPorte, Merrillville, Hobart, Crown Point, Hammond, East Chicago, Gary, Griffith, Highland, Lowell, Munster, Schererville, Dyer, Lake Station and Porter.
Midwest Telecom of America, Inc.
Northwest Indiana
1567 E. 93rd Ave
Merrillville, IN 46410
1-877-PICKMTA
Sales@PICKMTA.COM