Customer Proprietary Network Information

Business Account Authorization Form

"*" indicates required fields

The FCC requires Solarus to have this form on file to be able to confirm your identity and to ensure your privacy. Keeping your information secure is always a top priority for us. Completion of this will form will help to safeguard your account and enable us to confirm we are speaking with only the people you’ve authorized to make changes to the account.

Company Name*

Account Number*

Primary Contact First Name*

Last Name*

Title*

Phone

Please Choose an Account Password*

Authorize Additional Users to Make Changes or Billing Inquiries

Add'l User 1: First Name

Last Name

Title

Phone

Add'l User 2: First Name

Last Name

Title

Phone

Add'l User 3: First Name

Last Name

Title

Phone

Authorized Signature*

Date*