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 (new orders)
Download (orders before 4/4/18)
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, Westville, Wanatah, Kouts, DeMotte, Wheatfield, Roselawn, Lake Village, Schneider, Michigan City, LaPorte, Merrillville, Hobart, Crown Point, Hammond, Dyer, East Chicago, Gary, Griffith, Highland, Lowell, Munster, Schererville, Lake Station and Porter, Cedar Lake, St. John, Hebron, Whiting. Illinois cities we serve: Beecher, Crete, University Park, Monee, Richton Park, Park Forest, Chicago Heights, South Chicago Heights, Peotone, Sauk Village, Ford Heights, Olympia Fields, Lynwood, Lansing, Homewood, Flossmoor, Willowbrook, Steger, Glenwood, Thornton, South Holland, Calumet City, Dolton, Burnham.
Midwest Telecom of America, Inc.
Northwest Indiana
1567 E. 93rd Ave
Merrillville, IN 46410
1-877-PICKMTA
Sales@PICKMTA.COM