1. Location. This should be filled in with the name of the place where the pay phone is as it appears in the Pay Phone Directory.

2. Address. This should be filled in with the street address of the pay phone as it appears in the Pay Phone Directory.

3A. City and State/Province (domestic form only). Enter the city and state (province in Canada) of the pay phone as it appears in the Pay Phone Directory.

3B. City and Country (international form only). Enter the city and country of the pay phone as it appears in the Pay Phone Directory.

4. & 5.Your Name and E-Mail. Please enter your name and e-mail address. The e-mail address you enter will be used by me in case I need to contact you about your pay phone change or disconnection report.

6. Comments. Tell me why the pay phone listing needs to changed or removed. Please mention all relevant phone numbers.

• Pay Phone Change or Disconnection form. Use this form to report a pay phone listing which needs to be changed or removed.
• International Pay Phone Change or Disconnection form. Use this form to report a pay phone listing which needs to be changed or removed, and is outside the USA or Canada.