Xchange Telecom
PO Box 190433
Brooklyn, NY 11219
v. 1-877-891-5100
f. 1-877-891-5110
www.xchangetele.com
LNP Form
Date:Name: / Order/Cust#:
Address: / City:
State: / Zip:
Phone: / Fax:
Email:
Billing TN: / Full or Partial Port: / Full Partial
Currently DSL?: / No Yes: On Line:
List of Numbers To Port
Number / Current Carrier / Service Address / Notes
If it is a partial port you must notify LEC of required action on remaining telephone numbers should they remain as they are or disconnect? If you have PIC Freeze with your original carrier must notify the carrier to remove the freeze. If PIC Freeze is encountered during the porting process, no FOC date will be provided and someone will contact the customer to have the freeze removed (this will delay porting of the TN).
Porting process:
As soon as we receive this form and a copy of your most recent phone bill, we will begin the process of porting your number which can take up to 30 business days.
Porting disclaimer:
In no way or form do we guarantee the successful porting of phone numbers. We provide this as a service to our customers with the understanding that the customer is responsible for the payment of their service under any circumstance no matter if the requested number ported or not.
By signing this form, I acknowledge that I have read, I understand and I agree to be bound by all the terms and conditions as set forth in the Xchange terms and conditions agreement. By submitting this application, I also authorize Xchange Telecom to port my existing number to their service as well as certify that I read, understand and accept this disclaimer's terms and conditions, both expressed and implied, without exception. Xchange Telecom makes no express warranty regarding the Service and disclaims any implied warranty including any warranty of merchantability or fitness for a particular purpose. By signing below, I designate Xchange Telecom or its designated agent to transfer my service from my current provider to Xchange Telecom. By signing below, I also authorize Xchange Telecom or its designated agent to transfer my current telephone number used to provide service so that Xchange Telecom may provide its service to me. By signing below, I also authorize Xchange Telecom or its designated agent to obtain billing information, customer service records and other network information required to provide me with Xchange Telecom service. I understand that I may consult with Xchange Telecom as to whether a fee will apply to the change.
Date / Customer Name / Customer SignatureAdditional Numbers on Addendum
Xchange Telecom
PO Box 190433
Brooklyn, NY 11219
v. 1-877-891-5100
f. 1-877-891-5110
www.xchangetele.com
LNP Addendum
Additional phone numbers to be ported to Xchange Telecom:
Number / Current Carrier / Service AddressDate / Customer Name / Customer Signature
For additional numbers please print additional copies of this form.