CPNI Registration Form

Twisted VoIP’s commitment to customer privacy has identified the need to develop a strict Customer Verification Process. This form will be used to add authorized individuals to your account. We will verify the calling party on each call before giving account information, allowing changes, modifications, or alterations to your Services that are part of the Commercial Services Agreement.

Customer Account Information

Company Name: Account Number:

Primary Account Holder: Phone/Mobile:

Federal Tax ID or comparable ID: Preferred Contact Method: -

Six Digit PIN:
A valid PIN is a 6-digit number. It can not be 123456, the same number repeated (e.g. 222222), or the last six digits of the Federal ID or phone number. 

Secret Question:
Secret Answer:

Please list the names of all individuals authorized to discuss account information, make changes to this account, receive billing/account information or receive advanced technical support. 

I understand that it's Twisted VoIP LLC's duty and my right under Federal Law to maintain secure access to my information. I also understand that the information contained in this Customer Proprietary Network Information registration form will be used to safeguard my account and my account details and that information will not be given out unless it's to an "authenticated" authorized user. 

Printed Name:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

Insert Signature

I agree that I am and I understand this is a legal representation of my signature

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Signature Certificate

Document name: CPNI Registration Form - Signature Required

Unique Document ID: 9214cbf7b9612c91bbf5bc9f6387b9ec03ffdc4f

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Timestamp	Audit
November 18, 2022 5:44 pm MST	CPNI Registration Form - Signature Required Uploaded by Scott Burrell - [email protected] IP 129.222.77.34

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