VeriZpnwireless <br />Please complete this form and return it to Verizon Wireless via e-mail by saving a copy to your desktop and sending it as an attachment to: <br />I. Authorized Signature <br />The person signing this form represents and warrants that they have the authority to bind the Company /Customer identified on the form and requesting that <br />Verizon Wireless add /delete Authorized Contacts as noted in the form. <br />Please complete this section in its entirety and sign, if returning via e-mail please type your name in the Signature Field. <br />II. Authorized Contacts <br />Verizon Wireless requires that its business customers designate Authorized Contacts or Point of Contacts (POC's) on their accounts. An Authorized Contact / <br />POC is an individual who is granted authority to act on behalf of the company for all matters contemplated by your company's Major or National Account <br />Agreement or relating to your company's account(s). <br />Verizon Wireless needs an individual authorized to legally bind your company to identify as a new Authorized Contact or Point of Contact (POC) to be added to <br />your accounts. Each contact must be assigned a level of authority on your company's accounts. <br />The following roles are available. Please identify a role for each Authorized Contact/POC: <br />• Administrative Role: These POCs are authorized to add, delete and change POCs as well as perform any other transaction on the account. <br />• Maintain Role: Allows access to the same transactions as the administrative role with the exception of adding and deleting other POCs <br />• Buy Role: These POCs are authorized to initiate new activation requests, add /change /delete services, port lines and purchase or upgrade equipment. <br />• View Role: Allows access to account such as balance information, request bill reprints, make a payment, price plan inquiry, and request technical support <br />• <br />MyPOC (For My Business Users Only): This POC is responsible for the customer's utilization of the My Business Account application. Unlike the other <br />roles, only one MyPOC can be added to a profile /contract, if you are deleting your current MyPOC from the authorized point of contact list please <br />designate a new MyPOC on the form. <br />Please complete the Authorized Contacts section. All fields are required including whether you are adding /deleting or updating a POC's information <br />and the role of the POC. If a role is not selected, the POC role will automatically default to View Role. <br />III. Email Domains <br />Verizon Wireless utilizes your company owned email domain as a validation to verify employment when adding employee liable end user discounts. <br />Page 1 of 2 <br />