New Verizon Account Request

Company Name*
DBA
DUNS #
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Federal Tax ID
Authorized Contact
First Last
Picture of Main Contact License
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Accepted file types: jpg, jpeg, gif, heif, heic, png, Max. file size: 20 MB, Max. files: 1.
Contact Email
Contract Signer Title
Contact Phone Number
Contact Role in Company
Copy of one of below*
1. Valid Business License 2. Letter of good standing from the state 3. First 3 pages of articles of incorporation
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Max. file size: 150 MB, Max. files: 3.
Copy of one of below
Document addressed to company 1. Lease Agreement 2. Public Utility Bill
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Max. file size: 150 MB, Max. files: 3.
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