Power To Grow Services LLC

LoA


PO BOX 1, Appleton, WI 54912 / 920-931-4334

Letter of Authorization (LoA)

 

Requestor:

,  ,

Service Address

. .

Phone Numbers to be transferred:

Telephone Number Old Provider Name

By signing below, I verify that I am or represent (for a business), the above-named 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 authorize Power to Grow Services LLC (the “Company”) or its designated agent to act on my behalf and notify my current carrier(s) to change my preferred carrier(s) for the listed number(s) and service(s), to obtain any information the Company 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 acknowledge that I must keep all numbers in service with my current carrier until the port completes to avoid delays or rejections.

I acknowledge that I am responsible for any termination charges imposed by my current carrier for porting my numbers.

 

October 28, 2020

ATTACHED:

Leave this empty:

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Signed by Adam Romberg
Signed On: April 1, 2019

Power To Grow Services LLC https://powertogrow.com
Signature Certificate
Document name: LoA
lock iconUnique Document ID: ee40436e5ae63d197115cc99943ea052fad972f2
Timestamp Audit
February 24, 2019 7:17 pm CDTLoA Uploaded by Adam Romberg - [email protected] IP 75.87.192.249