Datadave.com' s How2 List - How To set up a NEW GTL (Global Tel Link) account
Note: Fluvanna (soon to be all of them) require a GTL account for even local numbers as of Sept '13

Setting NEW GTL account - Speak with a person

Call 877-650-4249
Request a LOCAL # and tell them Fluvanna in Troy, or VCCW at Goochland, or Deerfield in Capron, etc.
Pay $25 on a Credit Card

Setting NEW GTL account - Use the automated phone system

Call 800-483-8314 (Wait for it to ask you to press "1")
Press 1 For English
Press 2 to skip the message
Hear #, press 2 to enter a new number
Enter the #
Press 2 for account balance
Press 1 to make a paymnt
Press 1 for $25, 2 for 50$ ... $100
Enter cc#, expiration date, security code, zip code (and 1 to confirm or 2 to retry)
Follow the prompts, get the confirmation
Hang up