VERY IMPORTANT : PRINT VERY CAREFULLY OR THE FORM WILL BE REJECTED



 Letter of Authorization for Local Number Portability

 

The Customer hereby authorizes DataNetNow to act on behalf of the Customer to make changes to the Customer's existing local phone service with respect to Local Number Portability, limited to the numbers listed below. The Customer hereby authorizes DataNetNow to port/disconnect the indicated local telephone numbers from the Customer's existing local phone service provider.

BILLING INFORMATION

SITE INFORMATION

Customer Trading / Operating Name

Site 1 Address (include suite, floor unit)

Customer Name (as it appears on the local phone bill if different)

Site 2 Address (include suite, floor unit)

 

 

Company/Personal Address

Site 2 Address (include suite, floor unit)

City

Prov/State

Postal Code

Site 4 Address (include suite, floor unit)

 

CUSTOMER TELEPHONE NUMBERS TO BE PORTED TO DATANETNOW.

(ranges of numbers are acceptable - consecutive numbers only)

Current Provider Name

Telephone Number

   

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Signatory

Title

Date

 

 

 


IMPORTANT : PLEASE PRINT, SIGN, SCAN AND SEND AS AN ATTACHMENT TO sales@etransnow.com