(ii) the name, address, telephone number and signature of each existing retail customer requesting the advanced service, the advanced service being requested and the number of access lines for which the advanced service is being requested;
(iii) the name, address and telephone number of a designated contact person where the request is made by or on behalf of more than one person or business; and
(iv) a commitment by each customer who signs the request to subscribe to the requested service for one year, subject to the local exchange telecommunications company's identification of the price and terms of the service and the customer's agreement to the price and terms.
(3) In administering the bona fide retail request program, the local exchange telecommunications company shall:
(i) establish an Internet website and toll-free telephone number to address customer inquiries regarding the program;