EndlessCalls.Com Call the World for Free 1-888-2-GET-ELC 1-888-PORT-FAX
LETTER OF AUTHORIZATION –VOIP SERVICE
1.
Customer Name (your name should
appear EXACTLY as it does on your local telephone bill)
_________________________________________________________________________________________
First Name
Last Name
_________________________________________________________________________________________
Business
Name (required only if phone service is in your Company’s Name)
2. Service Address (primary address where the telephone service will be located. No Post Office Boxes)
_________________________________________________________________________________
Address
City
State Zip Code
3.
Billing Address (if different from
your service address, should appear EXACTLY as it does on your local telephone
bill)
__________________________________________________________________________________
Address
City
State Zip Code
4. List below all Telephone Number(s) for which you authorize change from your current phone service provider to RNK, Inc. d/b/a Endlesscalls.com (“Endlesscalls.com”). Please note that your Local, In-state Toll and/or Long Distance service for the number(s) listed below will be changed to Endlesscalls.com, and that any services associated with this number(s), such as Centrex, DSL or Ringmate, will be lost if you port this number(s).
Telephone
Number(s) (list all numbers to be ported)
Current Service Provider
______________________________________
_______________________________
______________________________________
_______________________________
*
Billing Telephone Number (“BTN”):
_________________________________________________________
(*This
MUST be provided if number(s) to be ported is a Business Account)
□
Check this box, if you have additional
numbers on your Business Account that you do NOT want ported.
5.
If the number(s) to be ported is a mobile number, please provide the following
information:
Mobile Number:_________________________
By
signing below, I verify that I am, or represent (for a business), the
above-named local service customer, authorized to change the primary carrier(s) for the
telephone number(s) listed, and am at least 18 years of age. The name and address I have provided is the name and address on
record with my local telephone company for each telephone number listed. I warrant that the
address that I have provided above is the address where I will be using this service. I authorize and designate Endlesscalls.com to act
as my agent and notify my current carrier(s) to change my preferred carrier(s) for the listed
number(s) and service(s), to obtain any information Endlesscalls.com deems necessary to make the carrier change(s),
including, for example, an inventory of telephone lines billed to the telephone number(s), carrier or customer
identifying information, billing addresses, and my credit history. I further understand that after this process is completed
Endlesscalls.com will become my Local, In-State Toll and Long
Distance
provider, as indicated above.
I understand that I am authorizing change(s) of my primary carriers for these
Service(s), and that I may select only one primary carrier per service, per number. I understand that
my local telephone company may bill me a one-time charge for requested service change(s) for each
telephone number.
Signature: ____________________________________ Date: ___________________________
Printed Name: _________________________________ VoIP User Name: ____________________________