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Comcast Letter of Agency

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Your order cannot be processed without the completion of this verification.
If you have questions regarding your order, please call 1-800-XFINITY, or the Comcast sales or customer care number for your area.

1. Please review the following information
Billing Name:
Billing Address:
Zip Code:
2. IMPORTANT: If you are switching your current telephone number to Comcast, please type your
    telephone number (with area code) and the name(s) of your current local and long distance
    telephone provider(s) in the spaces provided below.

    If you do not include this information, a new number will be assigned by Comcast.
Telephone Number
(with area code):
Name(s) of Your
Current Provider(s) or N/A:
3. Please read the following information carefully

I choose XFINITY™ Voice for all of my local, long distance, and international calling. In making this choice, I understand that Comcast will take the place of my current phone service providers, listed above (if applicable), for local, long distance, and international calling service. I understand that, for each of these services, I may designate only one provider per service for any one telephone number. I also understand that the service provided by XFINITY™ Voice from Comcast includes all distances which means I may only designate one provider for all of my calling needs for this telephone number.

My electronic signature on this form authorizes Comcast to act as my agent in making the change from my current service provider, listed above (if applicable), and to switch my telephone number, listed above (if applicable), to Comcast. I understand that my current service provider may charge a fee to switch my service to Comcast and that I may consult that provider as to whether a fee will apply to this change.

By signing this form, I confirm that I am at least 18 years of age, a member of the household, and the decision-maker authorized to select Comcast service and to change the service provider for the phone number listed above (if applicable).

4. Electronic Signature

I acknowledge that I have the necessary software and hardware to submit this form electronically to Comcast, and I understand that I may withdraw my consent to use electronic records at any time by contacting Comcast at 1-800-XFINITY.

By typing my name in the box below, I confirm that I accept the terms and conditions set forth above.

My Name:         Date:   
5. Click submit to complete form