Porting LOA — Mutated Tech | Letter of Authorization

Account holder (as on current bill)

Authorized account holder name *

Business name (if applicable)

Service / billing address on file *

Contact email *

Contact phone *

Current provider (losing carrier)

Current provider *

Current account number *

Billing Telephone Number (BTN) *

Account PIN / passcode (if any)

Numbers to port

Are you porting all numbers on the account? *

Telephone number(s) to port *

Requested port date (if any)

Authorization & signature

I certify that I am the account holder or an authorized representative with authority to make changes to the account identified above. I authorize Mutated Tech LLC and its underlying carrier to act as my agent to transfer (port) the telephone number(s) listed above from my current service provider to Mutated Tech service. I understand that I should not cancel my existing service until the transfer is complete, that the information provided must match my current provider's records, and that port completion timeframes are determined by the carriers involved. This authorization is valid until the port is completed or I revoke it in writing.

Typed signature (full name) *

Printed name *

Title

Date *

Questions about porting? Call (615) 362-1023. You can also print this page for your records.

✓

LOA submitted

Thanks — we've received your authorization and will begin the porting process. We'll keep you posted and let you know when it's safe to cancel your old service.

Call now

Porting LOA.

LOA submitted