Letter of Agency

A signed Letter of Agency is required if you are porting your phone number. This authorizes Long Lines to transfer your phone number from your current provider.

I, , of address do hereby choose Long Lines, 501 4th Street, Sergeant Bluff, Iowa as my local telephone and long distance provider. I am authorized to sign on behalf of the name and address listed above.

This letter of agency is effective Sep 9, 2010.

By Customer:

(Typing your name constitues as an "electronic signature" and allows us to process this part of your order.)