Rise Broadband LNP Authorization Form Tell us about yourselfYour First Name*As it appears on the bill from your current phone provider. If the name on your current bill differs from the name on your Rise Broadband account, call Rise Broadband at 844-411-7473 and add the name as an “authorized user” for your account before submitting this port request. Your Last Name*As it appears on the bill from your current phone provider. Your Company/Business NameAs it appears on the bill from your current phone provider. Best Phone Number To Reach You*Best Email To Reach You*Make sure this email address is valid, we use email for all communication regarding port requests. Your Rise Broadband Account Number*Your Rise Broadband account number is 16 digits starting with 8137. Address InformationEnter the address information exactly as it appears on the bill from your current phone provider, even if it differs from your Rise Broadband service address.Your House Number*If you live at "123 East Maple Ave", your house number would be '123' Your Street Pre-DirectionalIf you live at "123 East Maple Ave", your street pre-directional would be 'East' Your Street Name*If you live at "123 East Maple Ave", your street name would be 'Maple' Your Street Type*If you live at "123 East Maple Ave", your street type would be 'Ave' Your Building NumberIf you live at "123 East Maple Ave, Building 4", your building number would be '4' Your Floor NumberIf you live at "123 East Maple Ave, floor 5 ", your floor number would be '5' Your City* Your State* Your ZIP Code* Tell us about the phone number you wish to portNumber(s) must have active service with your current provider.Current Phone Service Provider*This is the company you currently pay for service to the porting telephone number. Account Number For Current Phone Service Provider*Enter the account number exactly as it appears on your bill from your current provider. Phone Number 1 to Port*Phone Number 2 to PortLeave blank if only porting one phone number.PINLeave blank if you do not have a PIN. PIN required for all cellular numbers. If you do not know your PIN, contact your cellular provider. Is this a partial or full port request?Partial - You are not cancelling service with your current provider and you will retain some services on the current account– other phone numbers, bundled services, etc. – even after you port the specified telephone numbers to Rise Broadband. Full - No services will remain active with your current service provider and you intend to fully cancel the current account once your telephone number(s) have ported to Rise Broadband.PartialFullYour BTN with current providerPartial port requests require the BTN (Billing Telephone Number) listed on your current account. A BTN is the ten digit telephone number under which all telephone numbers on your account are consolidated on your current phone bill, instead of showing charges under each telephone number. If you are not sure what this is, please contact your current provider. *Please note if your BTN is the same as the phone number you are porting you will need to contact your provider to change that to a new phone number. *Please note: Some carriers require prior notice for service cancellation. Check your current carrier’s policy to ensure you are aware of how these policies may affect charges. It is your responsibility to inform the current carrier of the intention to cancel services. Rise Broadband does NOT cancel any services with your current carrier. After you have confirmed your telephone number(s) have successfully ported, it your responsibility to cancel service and close the account with your current phone provider. Do not cancel current service until the port request is complete – porting is not possible on telephone numbers that are disconnected.Upload a PDF copy of your recent bill*Accepted file types: pdf, Max. file size: 2 MB.LOA Authorized Signature*By submitting this request, I certify the information provided is accurate and I authorize Rise Broadband to port my telephone number(s). I also understand that charges incurred to port my number or to forward my number during the porting process are my responsibility and not the responsibility of Rise Broadband. I understand it may take up to 20 business days to process this request. Reset signature Signature locked. Reset to sign again NameThis field is for validation purposes and should be left unchanged.