BILL NAME & ADDRESS (Street, Floor/Room, City, State, Zip), BILL CONTACT NAME & NUMBER

BILL NAME & ADDRESS (Street, Floor/Room, City, State, Zip), BILL CONTACT NAME & NUMBER

<p>Replace this text carrier name – Cincinnati Bell’s (9348) simplified LSR/RESALE form. Email completed form to [email protected] Ver 05/13/10 company code (e.g. CLEC – 1234) Check PON Status at https://services1.cincinnatibell.com/CarrierPreOrder/ LEC Center 513-565-CLEC(2532) M-F 8-5 EST</p><p>ADMINISTRATIVE CCNA PON VER ATN - existing/old TN or new TN if ACT=N DTSENT SECTION</p><p>DDD (Desired Due Date) SUP REQTYP ACT – New, Change, Disc, T-Move, V-convert as spec, W–convert as is CC NNSP EB</p><p>BILL BAN1 BILL NAME & ADDRESS (Street, Floor/Room, City, State, Zip), BILL CONTACT NAME & NUMBER SECTION 513-111-????, ???</p><p>CONTACT INIT TEL NO EMAIL (CBT prefers a shared/group email address for responses) FAX NO SECTION IMPCON (Supervisor) TEL NO EMAIL FAX NO</p><p>END USER NAME SAPR SANO SASF SASD INFORMATION SASN SATH SASS</p><p>SADLO FLOOR ROOM BLDG</p><p>CITY STATE ZIP CODE</p><p>RESALE NPI LNA LTOS TNS - New TN if LNA=X FPI PIC LPIC B BLOCK BA BLOCK SERVICE A 2BF- FA FEATURE FEATURE DETAIL FA FEATURE FEATURE DETAIL FA FEATURE FEATURE DETAIL</p><p>LISTING LACT RTY LTY 1-Listed, 3-NP TOA LNLN LNFN SECTION</p><p>REMARKS TN Confirmation Number: S</p>

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