Please Print and Return to Swetland Communications

LETTER OF AUTHORIZATION
Authorization To Access Current Telephone Provider Records
Customer Name:___________________________________
Billing Address(es): ________________________________
________________________________
I have entered into an agreement with Swetland Internet, Inc. DBA, Swetland Communications (later referred to as Swetland Communications) to become my new telephone service provider. After receipt of pricing and installation information from Swetland Communications, I may decide to terminate this agreement. I give Swetland Communications authorization to take necessary steps to immediately access all records that are in possession of Swetland Communications and/or my current provider, or any other telephone service provider pertaining to my existing telephone service. I intend to extend this authority to all telephone services I currently receive, whether associated with the telephone numbers listed herein or not. I understand these records will be used for the purpose of discussing the conversion to Swetland Communications. The number(s) listed below represent the billing telephone number(s) of my accounts with respect to which I grant access. My initials following this statement verify that I understand and agree that this authorization applies to all working telephone numbers and features associated with the billing telephone numbers I have listed below, unless otherwise stated.
Initials:______
Telephone Number(s):___________________,_______________________, ____________________,______________________, ____________________,______________________
I certify that I have read and understand the above Letter of Authorization. I further certify that I am at least eighteen years of age, and that I am authorized to grant access to records on the telephone numbers listed above.
Authorized Signature:
Date signed:_______________
Authorized Name(Please Print) __________________________________
Telephone Number of individual authorized to make this change(s):
__________________________________
Title: (Please Print): __________________________________
Company Name: __________________________________
Please complete one of the following for identification:
Federal Identification #: __________________
Corporate ID or Tax ID: __________________
Last 4 digits of Social Security Number: __________________
Month & Year of Birth: __________________
Mothers Maiden Name: __________________


LETTER OF AGENCY
Authorization To Allow Changes To Your Telephone Service Provider(s)
Customer Name:___________________________________
Billing Address(es): ________________________________
________________________________
I hereby appoint Swetland Internet, Inc, DBA Swetland Communications (later referred to as Swetland Communications) to act as my agent to make changes to the following services: local dial tone service, intraLATA (instate) toll services, and interLATA (out of state) long distance services. I understand that after receipt of pricing and installation information from Swetland Communications, I may decide to terminate this authorization. I direct my former provider to work with Swetland Communications to make changes occur. I understand that I can only pre-subscribe to one local dial tone service provider, one intraLATA (instate) toll provider, and one interLATA (out of state) long distance provider for each working telephone number that is billed to me. I understand that I may be required to pay a one-time charge per line to switch providers. If I later wish to return to my current service provider, I may be required to pay a reconnection charge to that company. I also understand that my new service provider may have different rates and charges than my current service provider, and that by signing below I indicate that I understand those differences (if any). The number(s) listed below represent the billing telephone number(s) of my accounts with respect to which I grant access. My initials following this statement verify that I understand and agree that this authorization applies to all working telephone numbers and features associated with the billing telephone numbers I have listed below, unless otherwise stated.
Initials:______
Telephone Number(s):___________________,_______________________, ____________________,______________________, ____________________,______________________
I certify that I have read and understand the above Letter of Agency. I further certify that I am at least eighteen years of age, and that I am authorized to change companies for services to the telephone numbers listed above.
Authorized Signature:
Date signed:_______________
Authorized Name(Please Print) __________________________________
Telephone Number of individual authorized to make this change(s):
__________________________________
Title: (Please Print):
__________________________________
Company Name:
__________________________________
Please complete one of the following for identification:
Federal Identification #: __________________
Corporate ID or Tax ID: __________________
Last 4 digits of Social Security Number: __________________
Month & Year of Birth: __________________
Mothers Maiden Name: __________________