200 West Mercer St, Suite E202
Seattle, WA 98119
Phone: 866-222-1818
Fax: 800-760-4583
Account Number: ________________________
The undersigned has selected International Telcom d/b/a Kall8 to act as the RESP ORG for the toll free numbers identified below and on any addenda attached to this letter. Kall8 has been authorized to act as an agent for the undersigned for the purpose of taking such actions as may be required on behalf of the undersigned to implement this selection.
Toll free number Where number should ring through to
Holder name and address below must match bill copy:
Current Toll Free Carrier: ___________________________________________
Current RESP ORG/ID (leave blank): ___________________________________________
Holder Name: ___________________________________________
Address: ___________________________________________
City, State, ZIP: ___________________________________________
Telephone: ___________________________________________
Authorized Signature: ___________________________________________
Signature Name (printed) ___________________________________________
Date: ___ ___/___ ___/___ ___ ___ ___
I choose to expedite the process of transferring my Toll Free Number(s) to Kall8 within 24-72 hours* (an additional $35 per number charge will apply and be processed to the credit card on file).
YES_____          NO_____
*24-72 hour expedite process requires a complete Letter of Agency, along with a recent bill copy (not older than 45 days from today) from your current toll free provider showing the toll free number, customer name, and address returned with this coversheet. Information on the Letter of Agency must match Bill copy.
______________________________OFFICIAL USE ONLY___________________________
New RESP ORG/ID: ___________________________________________
Transport Carrier: ___________________________________________
Date & Time Sent: ___________________________________________
RESP ORG Contact: ___________________________________________
Telephone: ___________________________________________