LETTER OF AUTHORIZATIONIn order to transfer (port) your current telephone number(s) and service, Landstar Telecom must work with your current service provider to ensure that your numbers are transferred properly. By completing, signing and dating this Letter of Authorization (“LOA”), you provide Landstar Telecom with the authorization to initiate the process of transferring your telephone numbers to Landstar Telecom. IMPORTANT INSTRUCTIONS Separate LOAs are required for each billing entity and/or service provider with whom you currently have numbers that you wish to transfer. Not completing this form in its entirety according to the instructions may result in delays or failure.To complete SECTION 1 below, please fill in requested information, EXACTLY as it appears on the bill provided by your current service provider.A copy of the first page of the most recent current service provider invoice on which these numbers are billed is required and must display the exact Billing Name, Address, and Account Number as submitted in Section 1 below SECTION 1 – Customer Information Billing Entity Name*Company or Individual’s name must match EXACT name as shown on current service provider bill.Billing Address*Address must match EXACT address as shown on current service provider bill.Suite, Floor or Room #if applicableCity*State*Zip*Account Number with Current Service Provider:*Service Provider Pin Number SECTION 2 – DETAILS OF PHONE NUMBERS TO BE TRANSFERREDPlease list the individual numbers that you wish to transfer (port) below: Individual Telephone Number(s)(Numbers 1 - 5) Individual Telephone Number(s)(Numbers 6 - 10) Individual Telephone Number(s)(Numbers 11 - 15)TEL1TEL6TEL11TEL2TEL7TEL12TEL3TEL8TEL13TEL4TEL9TEL14TEL5TEL10TEL15Name* First Last Title*Email* Todays Date