Authorization
By signing below I designate BRCK or its designated agent to transfer my service from my current provider to BRCK. By signing below I also authorize BRCK or its designated agent to transfer my current telephone number used to provide service so that BRCK may provide its service to me. By signing below, I also authorize BRCK or its designated agent to obtain billing information, customer service records and other network information required to provide me with BRCK service. I understand that I may consult with BRCK as to whether a fee will apply to the change.