Residential VoIP Form Customer Name: Address: Street Address City Postal / Zip Code Contact Number: Porting Number:YesNo Number to Port: Customer Plan:Residential $27 per MonthOther (See Notes) Activation:Standard - $99Other (See Notes) Type of Install:1. Install without Phone2. Install with New Phone3. Install with pre-existing Inside Wiring Additional Install Charges (If any): Number of Phones: Notes: Submitted By: Word Verification:SubmitReset