Please Add The Following New Telephone Numbers To Our Existing Lightyear Account. (Please submit this form separately for each group of telephone number(s) added through your Local Telephone Company under an existing Billing Telephone Number AND/OR for each group of telephone number(s) added through your Local Telephone Company under a new Billing Telephone Number)

Your Name: (required)
Company's Name (if applicable):
Your Phone Number:
(required, please include area code)
Your email Address:
(used only to confirm addition of new telephone line(s) with you)

New Telephone Number Information:

Main Telephone Number:
(required, include area code)

If you have added new Working Telephone Number(s) (rollover line(s), fax line(s), modem line(s), etc.) to your existing local telephone service, you will want to enter the existing main telephone number (Billing Telephone Number) that these new numbers will bill under. This is generally the case.

If you have added a new main telephone number (Billing Telephone Number) with or without new Working Telephone Number(s) (rollover line(s), fax line(s), modem line(s), etc.) you will want to enter the new main telephone number. (You would generally receive a separate bill from your Local Telephone Company for each Billing Telephone Number that you have with them).

Project Account Codes

New Telephone Number #1: Yes No
New Telephone Number #2: Yes No
New Telephone Number #3: Yes No
New Telephone Number #4: Yes No
New Telephone Number #5: Yes No
New Telephone Number #6: Yes No
New Telephone Number #7: Yes No
New Telephone Number #8: Yes No

Effective Date:
(required, date new line(s) were or will be installed by your Local Telephone Company)

Our (my) Local Telephone Company Is:

I agree to these Terms of Authorization.

Check this box if you have a business associate, friend or relative in mind who might be interested in Lightyear. We'll give you a call to get their name and if they agree to use Lightyear you'll get 100 free minutes of use on your Lightyear Toll Free number !

Comments (if any):

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