Transfer Service Request

Business Account Transfer Form

"*" indicates required fields

Please indicate whether you are the current or new account owner*

Your First Name*

Your Last Name*

Your Phone Number*

Email Address*

Name of The Business (Under Your Ownership)*

Account Number (A new number may be issued once transfer is complete)*

How Would You Like Your Listing to Appear in the Phonebook?

Please note that a $10.00 fee will be charged for any changes.

Name of The Person You Are Transferring This Account To*

Requested Date of Transfer

Please Note: Transfer of account ownership will not take place until both parties have completed and signed their respective forms. Any automatic payment information and web account access will be removed with this transfer of account ownership.

Please Update Your Contact Info For Our Records

Best Phone Number to Reach You*

Email Address*

Billing Street Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Signature*

Date*

Billing Information

Billing Street Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Signature*

Date*

Please Note: Transfer of account ownership will not take place until both parties have completed and signed their respective forms. Automatic payment information and web account access will be deactivated on this account. If you would like to activate either of those options, please contact our Customer Service Team at 715-421-8111.