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    For each of the telephone numbers listed herein and on Attachment A, I appoint Telocall to act as my Agent for the purpose of collecting my account information with my current local telephone carrier or provider (hereinafter “Provider”).

    By selecting Telocall to act as my Agent to research my current services with my current Provider of local telephone service, I am authorizing the change of my local telephone Provider from that/those which I am currently using to Telocall. This authorization will expire with written notification only.

    LOA Instructions:

    • Only one (1) BTN may be associated with each LOA. If you have additional BTN's, you must submit an LOA for each BTN.

    • Please provide a copy of the most recent losing carrier invoice for the BTN listed above. The information on this LOA MUST match the attached losing carrier invoice.

    • Use Attachment A for listing all telephone numbers associated with this BTN.

    Billing Information

    Account Information

    Attachment A

    List all telephone numbers to be ported separated by commas. Do not add toll-free 800 numbers or alarm lines to this LOA. Use a RESPORG for toll-free numbers.

    All Telephone Numbers: *

    Upload your bill:

    Authorized Signature: *

    Print Name: *

    (please print)

    Email Address: *

    (used for LNP updates)

    Date: *