Docket Number
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)
(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: __________________________
Date: __________________________
