Primus Letter of Authorization
(Direct Dial Service)
Personal Information
Account Type:
Residential
Business
Name:
Company Name:
(if business account)
E-mail:
Local Phone Company:
Date of Birth:
(mm/dd/yyyy)
Daytime Contact Number:
Physical Address
Address:
City:
State:
Zip:
Mailing Address (if different from above)
Address:
City:
State:
Zip:
Calling Card
Yes
No
New Toll-Free Number
Yes, I would like a personal toll free number
Ring to Number:
No, I wouldn't like a personal toll free number
Existing Toll-Free Number
Existing Toll-Free Numbers
- If you have existing Toll-Free number(s) that you would like to move to Primus Telecommunications please complete the
attached form
and fax it along with a recent invoice that shows your name and the existing Toll-Free number(s) to
1-858-777-5505
.
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.]
Telephone Number(s) to Be Registered:
Primary Phone:
Long Distance
Local & Long Distance
Dial Around
Phone Number 2:
Long Distance
Local & Long Distance
Dial Around
Phone Number 3:
Long Distance
Local & Long Distance
Dial Around
Phone Number 4:
Long Distance
Local & Long Distance
Dial Around
Phone Number 5:
Long Distance
Local & Long Distance
Dial Around
Internet Letter of Authorization Language
Please read terms & conditions below:
I am at least 18 years of age and I have read, fully understood and I accept the terms and conditions of this offer and Primus’ Privacy Policy all of which are set here in below:
I have the proper authority to make decisions concerning the long distance service for the phone number(s) listed above.
I hereby switch any long distance service and local toll service to Primus Telecommunications.
I authorize Primus to act as my representative to switch these services, to notify my local telephone company of my decision, and where applicable, to unblock my carrier choice service protection to make these switches possible.
I understand that I can have only one primary carrier for each of the services listed above, and my local telephone company may apply a small fee(s) for this change.
