Be careful...you are swearing under pains and penalties of perjury...
"** CERTIFICATION **
Do you declare, under penalty of perjury, that (a) you were an MCI subscriber at some time during the period from February 5, 1996 to October 15, 2000; (b) you believe in good faith that you paid MCI's Non-Subscriber Rates And Surcharges during that period; (c) these rates and surcharges were not the result of your making Dial-Around calls on MCI's network; and (d) you have not already received credits from MCI or your local telephone company for the Non-Subscriber Rates And Surcharges."