End-User Name (Business or Residential):
Person authorized to make this request if a business:
*You must enter your billing and service address below as it appears on your bill from your current provider.

Service Street Address:

Suite or Apartment No:

City:

State:

Zip:

Current Service Provider:

Billing Street Address:

Suite or Apartment No:

City:

State:

Zip:

Billing/Service Address are the same.

*Note that all Telephone Numbers listed below must be associated with this Name.

Billing Telephone Number:
Enter the numbers to port:

For Nextlink to complete the number porting process, you must send us a copy of your last phone bill from your current provider. We need this to prove that you are the owner of the numbers that are to be ported. You can send a copy of your bill by uploading it below.

Choose a file to upload:

As an alternative you can send a copy of your bill to lnp@nextlinkvoice.com or fax it to 817-704-4644.

 

*If you wish to select Nextlink as your new service provider for the telephone number listed on this form, you will need to sign your initials on the line below, as applicable:

By signing below you are agreeing to our terms.

Date:

Review your signature

Draw your signature

1. Name
2. Address
3. Numbers
4. Upload Bill
5. Initial and Sign