WUTC: Cancellation of Registration, June 10, 2005

Cancellation of Registration, June 10, 2005

REQUEST FOR CANCELLATION OF REGISTRATION

TO: Washington Utilities & Transportation Commission
Attention: Telecommunications Section
P.O. Box 47250
Olympia, WA 98504-7250
(Fax) 360-586-1150

Docket UT- ______________
(Commission Use Only)

The undersigned, _______________________________________________ does hereby
(Issuing Agent/Officer of Company)

request cancellation of __________________________________________ registration
(Registered Company Name)

to operate as a telecommunications company doing business in the state of Washington.

Please include the following information:

Unified Business Identification (UBI) Number: ______________________

Company Contact Person: ___________________________________

Contact Telephone Number: ___________________________________

The undersigned certify that they have no existing customers and no outstanding prepaid calling services.

I understand that this request is not effective until acknowledged upon by the Commission.

Signature: __________________________

Date: __________________________


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