ADSL Letter of Authorization

Please use this letter as authorization to install ADSL on my phone line.

I authorize Access Orlando.net to add an ADSL circuit to our POTS* line.

I authorize Access Orlando.net to be our carrier for ADSL service.

Name:
(print) __________________________________________

Service Address:
(where ADSL is connected) ____________________________

______________________________________________

______________________________________________

Service Phone Number:
(phone number using ADSL) ___________________________

Your Signature: _________________________________

Todays Date: ___________________

* POTS - Plain Old Telephone Service (voice).