Letter of Agency

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A Letter of Agency (LOA) must be completed by the end-user and supplied to FIBER BY CENTRAL FLORIDA, LLC. upon request. The LOA must contain the name and current service address of the end-user and the numbers that will be ported to CONEXON CONNECT, LLC, from the end-user’s current carrier. The LOA used must comply with FCC regulations and must be dated and signed by the end-user or a person who has the authority to act as a legal agent.

Thank you for choosing FIBER BY CENTRAL FLORIDA, LLC (“FIBER BY CENTRAL FLORIDA”), as your new telephone services provider. If desired, you may continue to utilize your existing telephone number with FIBER BY CENTRAL FLORIDA instead of having a new telephone number assigned to you. To transition your current telephone number to the FIBER BY CENTRAL FLORIDA network, FIBER BY CENTRAL FLORIDA and/or CONEXON CONNECT, LLC must work with your current telephone services provider to ensure your telephone number is properly transferred and your service is not interrupted.

By completing all required information below and signing this LOA, you authorize FIBER BY CENTRAL FLORIDA and/or CONEXON CONNECT, LLC to contact your existing telephone service provider and initiate porting of your telephone number.

Please provide the following information regarding your account with your CURRENT voice services provider (Not FIBER BY CENTRAL FLORIDA):

Current Phone Provider(Required)

Account Number(Required)

Name on Account (Billing Name)(Required)

Alternate Contact Name(Required)

Alternate Contact Phone Number(Required)

Business Name (if applicable)

Business Manager Name (if applicable)

Business Manager Contact Number (if applicable)

Service Address(Required)

Must reflect the Service Address on record with your current Telephone Services Provider which may be different from your current Billing Address and cannot be a PO Box:

Street Address City State ZIP Code

Telephone number to be Ported(Required)

Please Note: if multiple telephone numbers will be ported a separate LOA must be completed for each ported number

Number Transfer Pin (Port Pin)(Required)

Your transfer PIN (or port-out PIN) is usually on your bill or must be requested from your current provider. Most carriers won’t agree to transfer your number without it, so please be sure to include it when filling out this document.

PLEASE DO NOT PLACE ANY NEW SERVICE ORDERS OR DISCONNECTS WITH YOUR CURRENT SERVICE PROVIDER ON YOUR CURRENT ACCOUNT, AS THIS WILL CAUSE A DELAY IN PORTING YOUR NUMBER.

PLEASE DO NOT CONTACT YOUR CURRENT SERVICE PROVIDER TO DISCONNECT SERVICE AS THIS WILL STOP THE PORTING PROCESS. YOU MUST KEEP YOUR EXISTING SERVICE UNTIL THE PORTING PROCESS IS SUCCESSFULLY COMPLETED.

PLEASE ENSURE ALL INFORMATION PROVIDED ON THIS FORM EXACTLY MATCHES THE INFORMATION ON YOUR MOST RECENT TELEPHONE BILL.

Name

First Last

Signature

Date