EFTA01221347.pdf

a 4;r atstt ADD-ON OR TRANSFER TO CORPORATE ACCOUNT REQUEST FORM ❑ Add-ON Master Account Trt -i:ansfer to Master Account Add-ON Break Out Billing Account Transfer to Break Out Billing Account BAN Number: M70O/ 75 /025 Rate Plan Code: Account Executive: Comp. code: Mobile: Sales Rep. Name: Comp. code: Mobile: at&t 103 Ortegon St. New Lines Port Lines Transfer of Service Guaynabo, E.00966 Sales Department FAX Numbers: 787-405- 5470 / 5471 Credit Department Fax Numbers: 787-397- 5133 / 5134 By this means the Corporation requests approval for service for lines. Said entity is fiscally responsible for payments on this account, being responsible for total payment of services received by the user(s). The Corporation recognizes and accepts that the service received by the user(s) specified below will be subject to each and every term and conditions stated in the Service Agreement between at&t and the Corporation. USERS NAME NAME NAME NAME TRANSFER Co. £ni*t• , SS: authorized to transfer my cellular number: to the following corporate account: 2S700 V7-5/1225 Signature: *Comps Authorized Signature: Name: Title: S one: 390- 775 J._51,5 Date: 3/e/// *Company Authorized signature* The subscriber of this letter manifests that he/she possesses the necessary✓legal authority, conferred by the Board of Directors or owner of the Corporation to sign on Its behalf. CREDIT & ACTIVATIONS DEPT. USE ONLY Approval Code BAN Number Quantity of lines Date Credit Analyst: Credit Limit: Deposit required per line: DOCUMENT TO BE MICROFILMED BAN Number Mobile Number Company Name Date Rev 12/2009 EFTA01221347