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Letter of Authorization
All information must match the current invoice or bill “Exactly”
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Please fill in ALL numbers to be ported.
*
Enter Phone Numbers one number per line including the country code.
Port Date
*
Desired Port Date
Main Billing Telephone Number
*
Main phone number the current carrier has on account
Account Number
*
Account Pin
If applicable
End User
*
Business: Company Name / Residence: User Name
Losing Carrier Name
Porting Carrier Info This may be helpful in some cases.
Customer Address
*
As it appears on the current invoice or bill
Apt/Suite/Unit
If applicable
City
*
State
*
State...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP
*
Authorized person as it appears on the current invoice or bill
Customer PON
reference number for your record.
Print Full Name
*
Date
*
Main End Name
Email Address
*
By Submiting this form, I authorize Pintel Communication to act as my agent to port the telephone number(s) listed on this order from the current service provider to Pintel Communication's or affiliated service. I understand this authorization is made in accordance with the Federal Communications Commission's rules regarding Local Number Portability under 47 U.S.C. § 251(b)(2) and related regulations. I certify that I am authorized to request number portability for the telephone number(s) listed and that all information provided is true and correct. I acknowledge that my current provider may charge early termination fees and/or outstanding balances for which I will remain responsible. I understand that service interruption may occur during the porting process. I acknowledge that this request will not change any existing contractual obligations I have with my current provider, and it is my responsibility to ensure those obligations are fulfilled separately.
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