Local Number Transfer Request

Local Number Transfer Request
FreedomVoice Account Information
Contact Name*

First NameLast Name
E-mail*
Contact Phone Number*
FreedomVoice Account Number
Current Phone Provider Information

Information provided must match current provider or request will be rejected. For best results, call your current carrier and ask for this information while you enter it here.
Requested Transfer Date (At least 2 business days in the future). We will request that your numbers transfer on this date, however it is up to the losing carrier when your numbers will port.*

MonthDayYear
Current Phone Carrier*
Current Carrier Account Number*
Business Name on file with Current Carrier*
Account Holder name for residential or personal accounts
Billing Telephone Number on Current Carrier Account*
Current Carrier Account Pin
(Required for Mobile Numbers, MagicJack and some other providers)
Address on Current Carrier Account*

Street Address - No P.O. Boxes

Street Address Line 2

CityState

Zip CodeCountry
Will you be canceling service with the current provider?*

YesNo
Phone Numbers to Be Transferred

All phone numbers must be currently hosted on the account listed above.
Phone Number #1*
Temporary FreedomVoice Number to Replace:
Phone Number #2
Temporary FreedomVoice Number to Replace:
Temporary Number to Replace:
Phone Number #3
Temporary FreedomVoice Number to Replace:
Temporary Number to Replace:
Phone Number #4
Temporary FreedomVoice Number to Replace:
Temporary Number to Replace:
Phone Number #5
Temporary FreedomVoice Number to Replace:
Temporary Number to Replace:
Enter additional numbers here
Please place one requested number and the temporary FreedomVoice number to be replaced on each line
Customer Agreement - Number Porting*
You have certain rights related to porting number(s) to a carrier of your choice. Notwithstanding these rights, FreedomVoice may hold local number(s) if there is an associated outstanding balance. FreedomVoice shall do so in accordance with existing local number portability law and regulations. You hereby agree to pay all undisputed balances prior to authorizing FreedomVoice to port your local number and further declare there are no carrier disputes related to your local number that would prevent FreedomVoice from porting these numbers.
Authorized Signature*

You agree your electronic signature is the legal equivalent of your manual signature on this Request Clear
Authorized Signer Name:*

First NameLast Name
Date

MonthDayYear
Attach a copy of your current telephone bill and a CSR

Upload a File
Providing a current bill expedites the porting process Cancelof
Enter the message as it's shown*
Should be Empty:

Local Number Transfer Request

FreedomVoice Account Information

Current Phone Provider Information

Phone Numbers to Be Transferred