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 (as shown on your last invoice)*

First Name*

Last Name*

Title*

Please Choose an Account Password*

Please Select a Security Question. (This can be used to access the account if the password is unknown.)*

Answer to the Security Question You Selected*

Please Add the Name(s) of Any Additional Users You Authorize to Make Changes or Billing Inquiries

Authorized Signature*

Date*