Letter of Authorization - Loveland Pulse

LETTER OF AUTHORIZATION

Dear Loveland Pulse Subscriber,

Thank you for choosing Pulse as your voice service carrier!

As you are aware, you may continue to use your existing telephone number with Pulse. In order to transition your current telephone number to the Pulse network, Pulse must work with your previous service provider to ensure that your service is uninterrupted, and where applicable, to ensure that your number is transferred.

Your current provider requires this letter as proof that you have explicitly authorized and requested that your service and current telephone number be transferred to another provider. By filling in all the information requested below and signing and dating this letter, you provide us with the authorization to initiate the process of transferring your service and telephone number to Pulse. You will then be able to use your old number with the Pulse network.

Please ensure the following information MATCHES WHAT APPEARS ON YOUR EXISTING STATEMENT, and is completed accurately to prevent possible delays.

Email used to set up your Loveland Pulse Account

Loveland@example.com

Telephone Number to Transfer*

Name of Current Service Provider*

Account Number Listed on Current Statement*

Current Provider PIN #*

Person Authorized to Make Request*

Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

*If you are porting over multiple phone numbers, please complete the following fields. Note all Telephone Numbers (TN) listed below must be associated with the same name

	Beginning Range TN	End Range TN	Main/Primary TN for this Range
1
2

If you wish to select Pulse as your new service provider for the telephone number listed on this form, you will need to CHECK ALL THREE (3) boxes to confirm acceptance.

Yes, I select Pulse as the network carrier for all LOCAL calls for this numberYes, I select Pulse as the network carrier for all INTRASTATE TOLL calls for this numberYes, I select Pulse as the network carrier for all INTERSTATE AND INTERNATIONAL calls for this number

If you want to receive service on the Pulse network, you will need to authorize Pulse in ALL THREE (3) spaces above. You may not have more than one carrier for each TYPE of service above. By signing below, I designate Pulse to transfer my service from my current provider to Pulse.

Agreement*

Yes , I authorize Loveland Pulse to transfer my current telephone number used to provide service so that Pulse may provide its network service to me.By checking this box, I authorize Loveland Pulse to obtain billing information, customer service records, and other information required to provide me with service on the Pulse network.I understand that there will be a $5.00 fee to port my number.

Date*

Date