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Long-Distance Phone Service Letter of Agency

Delta County Tele-Comm, Inc. d/b/a Elevate/Delta County Tele-Comm (Elevate/DCTC) requires this signed Long-Distance Phone Service Letter of Agency to provide Long-Distance service from DMEA Utilities Services, LLC d/b/a Elevate (Elevate) to the Customer. By completing this form, the Customer identified below authorizes Elevate/DCTC to act as their agent to change the Customer’s current Long-Distance carrier to Elevate for each of the billed telephone numbers listed below. In connection with such agency authorization, the Customer authorizes Elevate/DCTC to contact their current Long-Distance carrier to (a) access any information relevant to their Long-Distance telecommunications service, and b) to act as the Customer’s agent for the purpose of taking any and all actions required to change the Customer’s Long-Distance carrier to Elevate. 

For each telephone number, the Customer understands that only one carrier may be designated as their Long-Distance carrier. The Customer may consult with Elevate as to whether a fee will apply to the change in preferred Long-Distance carriers. The Customer acknowledges and understands that the Customer is responsible for any termination fees charged by their current Long-Distance carrier resulting from this change. The individual signing below represents that they are authorized to execute this form and grant this permission on behalf of the Customer.

Please separate each number with a comma.

Acknowledgement and Signature

By signing below, I agree to all the terms above. I understand this authorization will remain in effect until I notify Elevate/DCTC in writing or electronically to withdraw it at the addresses below. I understand that if I withdraw it after the change in preferred carriers occurs, that I will not be returned to my previous Long-Distance carrier. I will receive a copy of this authorization for my records at the email address provided above. I represent that I have a device capable of accessing the internet, an internet connection, and software that permits me to access PDF files, which are necessary to receive an electronic copy of this authorization.
All communications to Elevate/DCTC in this document should be addressed to either [email protected] or 11925 6300 Road, Montrose, CO 81401. I am responsible for updating my contact information with Elevate/DCTC.
Signature
Questions? Please contact us at [email protected] or call 844-386-8744.