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Winack LOA - CenturyLink

By Hazel Perkins,2014-12-26 04:15
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Winack LOA - CenturyLinkWinack

    LETTER OF AGENCY

     (All Sections must be completed. If a section does not apply, please indicate by using “NA.”)

Name of Person Authorized to Act on Behalf of the Company Contact Telephone Number

     (MUST BE THE SAME PERSON WHO SIGNS THIS FORM)

     —————— Billing Address of Main Telephone Number ——————

    Company Attention

    Street

    City State Zip

    ———— Service Address (if different than Billing Address) ————

    Company Attention

    Street

    City State Zip

    —————————— Verification Information ——————————

    Date of Birth or SSN (last 4 digits) or Federal EID #

TELEPHONE LINES

    ; List Main Telephone Number (BTN) as it appears on the local bill and the associated telephone numbers.

    ; Select the appropriate box(es) next to each telephone number for which you want CenturyLink service.

    Main Telephone Number Long Distance Local Toll Local Service

     - -

    —————————— Associated Telephone Numbers ——————————

    Telephone Long Local Local Telephone Long Local Local

    Number Distance Toll Service Number Distance Toll Service

     - - - -

     - - - -

     - - - -

     - - - -

     - - - -

     Please check if a separate page listing other associated telephone numbers is attached

    IMPORTANT CUSTOMER AUTHORIZATION

    By signing below:

    I AUTHORIZE CENTURYLINK COMMUNICATIONS* TO BECOME THE NEW BUSINESS PHONE SERVICE PROVIDER for some or all of the following services selected in this Letter of

    Agency for the telephone number(s) listed above: (1) long-distance service long distance calls within my company’s state, from my company’s state to another state and international calling;

    (2) local toll service calls to locations just outside my company’s local calling area; and/or (3)

    local service CenturyLink** for calls within my company’s local calling area. I also authorize

    and designate CenturyLink to act as my company’s agent to make this change happen, and direct my company’s current local service provider for my business phone to work with

    CenturyLink to make these changes.

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    LETTER OF AGENCY

    I UNDERSTAND THAT: (1) I may consult with my company’s current local service provider to determine if any fees apply when I switch my business phone service to CenturyLink or if I later decide to switch back my company’s service; (2) this change request only applies to the telephone number(s) on this request; (3) I may select only one presubscribed long distance, one presubscribed local toll and one presubscribed local service provider for each telephone number; (4) CenturyLink may have different calling areas, rates and charges for each of the services selected by me than my company’s business phone service provider(s) and that I will be billed

    accordingly; (5) state-to-state and international long distance rates and services from