CTI Fiber | CTI Phone Letter of Authorization

Name*
First Last
Your name should appear exactly as it does on your telephone bill.
Business Name

(If the service is in your company's name)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Service address on file with your current provider. (This must be a physical location not a PO Box)
List all the telephone number(s) which you authorize to change from your current phone service to CTI.
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 CTI 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 CTI 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.
Signature
Full Legal Name
Date
MM slash DD slash YYYY