NEXUMI COMMUNICATIONS, LLC
1534 BURLINGTON
NORTH KANSAS CITY, MO 64116
816-533-7880
LETTER OF AGENCY - PORTING AGREEMENT
(Information Required to Change Your Communication
Service Provider to NEXUMI COMMUNICATIONS, LLC)
Customer Name: (Must match the CSR Billing name)
Billing Address: (Include street, city, state, zip)
Account Number with Current Provider:
Initial here to change my Telephone Service to NEXUMI COMMUNICATIONS, LLC in place of .
I understand that only one company may be designated as my preferred carrier for each type of service selected for each telephone number. By signing below and initialing my selection above, I authorize NEXUMI COMMUNICATIONS, LLC ("NEXUMI") to provide the selected services to the specified telephone number(s) below. If later wish to return to my current telephone company, I understand I may be required to pay a reconnection charge. By signing below, I agree to the following:
1. I revoke any appointments of authority that I have given to any other service provider for the services I request. I understand that NEXUMI may have different calling areas, rates and charges than my current telecommunications company, and am willing to be billed accordingly.
2. I acknowledge that NEXUMI and its affiliates will provide the specified services and equipment (regardless of installation location for such equipment) as provided in NEXUMI's rates as published, including, but not limited to any limitations of liability specified therein. I acknowledge that unregulated components of Internet services and all services provided in de-tariffed jurisdictions are provided in accordance with the rates, terms and conditions provided in the then current published rates, terms and conditions of NEXUMI, including, but not limited to, any limitations of liability specified therein. I understand that NEXUMI will use reasonable efforts: (1) to provide service by the date requested, (2) to prevent service interruptions, and (3) to restore service when service interruptions occur.
3. I certify, that I am at least, 18 years of age and legally authorized to change telephone companies for the telephone numbers specified. I agree that a faxed copy of this Letter of Agency will have the same force and effect as an original.
4. I understand that the rates, terms and conditions of service may be revised by NEXUMI from time to time effective following applicable notice posted on the NEXUMI website, as communicated in writing, as provided in monthly invoice, or in a mailed notice. I acknowledge that I have read and understand this Letter of Agency and have had an opportunity to review, and hereby agree to all rates, terms and conditions referenced above, which are incorporated herein for all purposes.
Numbers to be Converted Must Be Listed Here:
Initial here ONLY if converting each and every other line associated with my account(s) with my current provider(s) in addition to those specified above.
Initial here ONLY if attaching a list of numbers to be converted in addition to those specified above.
I authorize NEXUMI to become my new provider for the above selected services. I authorize NEXUMI to act as my agent to make this change, and direct my existing provider(s) listed above to work with NEXUMI to make the requested changes to the numbers referenced above. I also recognize and understand that this authorization applies to voice services only. Data services cannot be disconnected by NEXUMI and usually require written notice from the individual listed with the account.
Signature of Individual Signing in Behalf of Customer
(individual or sole proprietor must sign on his/her own behalf)
Printed Name/Title
Date