Transfer of DSL Account

To:  MM Internet
Regarding:  Transfer of DSL Account

I authorize this new name to be added to this DSL account

Name:                              
DSL Phone Number:        
Date:                                
Signature:                           

I accept the terms and conditions located at http://mminternet.com/dsl/dsl_terms.html for the DSL account. 

Name:                              
Contact Phone Number:   
Billing Address:                
Billing Type:                      Credit Card                                        Invoice
Credit Card # (Optional): 
CC Expiration Date          
Signature:                         

You must print this form, fill it out, have both parties sign, and either fax, mail or drop it off to MM Internet. 

MM Internet
200 Oceangate Suite 800 Long Beach, CA 90802
Fax Number - 562-427-3622