LETTER OF AGENCY

 

Dear Subscriber,

 

Please read, sign and return (mail or fax) this letter to PCI Systems, Inc. which authorizes Inter-Tel
Net Solutions to change your long distance service from your current provider to PCI Systems, Inc.
Inter-Tel is PCI Systems, Inc. telecommunications partner and will act as the authorized agent to
interface with your current long distance company, in order to facilitate the change.

 

Fax signed copy to: 719 572-5705 OR

Mail signed copy to: 5770 Flintridge Dr Ste 100 Colorado Springs, CO 80918

 

To Whom It May Concern:

 

We have retained Inter-Tel NetSolutions, 885 Trademark Drive, Reno NV, 89521 as our authorized agent to
interface with your company(ies) regarding all aspects of our long distance service.

 

Under the terms of this agreement and by this letter, we do hereby authorize Inter-Tel Net Solutions to handle
all negotiations for long distance service requests and the issuance of orders. The agency shall continue in
effect until you are notified of its cancellation in writing.

 

This authorization shall in no way preclude our ability to act in our own behalf when we deem it necessary.

 

  ____________________________________    _______________________________________

  Customer Signature REQUIRED                           Print Full Name

 

  ____________________________________    _______________________________________

  Company Name (if applicable)                                Date

 

  (______)_____________________________    (______)________________________________

  Primary Telephone Number                                     Additional Telephone Number

 

  (______)_____________________________    (______)________________________________

  Additional Telephone Number                                  Additional Telephone Number

 

  ____________________________________    _______________________________________

  Billing Address for Primary Phone #        Apt         City                                             State        Zip 

 

  _____________________________________ 

 Email Address

  Example: ted@pcisys.net                              


  _______________________________________          _______________________________________

         NetSolutions Final Acceptance                              Date