Letter of Authority

1

Current Provider

2

Site Address to Register Against Numbers

3

Numbers to be Ported

No 1
No 2
No 3
No 4
No 5
MBN
4

Customer's Company Details

For the Attention of My Current Provider

This CLoA is to notify you that I (representing the customer shown below) have taken the decision to move my Telephony services to a new Provider and require the numbers associated with those services to be ported across to my chosen new Provider (stated above).

My new Provider is authorised to act on my behalf in this matter & you have my authority to disclose to my new Provider (at their request) any other service or site-specific details they might need to allow this port to proceed (e.g. Site/Billing address post code, DDI number range, Main Billing Number (MBN), etc.).

I recognise that it is my responsibility to arrange the cessation of, or changes to, any other services provided by my current Provider.

5

Requester's Details

6

Signature

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