Know Your Customer Form

Type of Business

Wholesale

Retail

Both – Provide Percent of Mix:

Check if same as above

Tax Exempt:

Yes

Legal Compliance Contact

Main Customer Contact

Billing (AP Contact)

Do you have a Subscription Account Number for accessing the National Do Not Call Registry?

Yes

Does your business have any certifications that permit or allow pre-recorded messages to be delivered to your customer base?

Yes

Trade References

US FCC REGISTRATION AND INDUSTRY TRACEBACK

Pursuant to 47 CFR § 64.6305 (b) , all voice service providers must file certifications to the FCC’s Robocall Mitigation Database providing detailed information regarding their implementation of the STIR/SHAKEN caller ID authentication framework and/or a robocall mitigation program.

Are you registered in the FCC Robocall Mitigation Database?

Yes

Do you have an active robocall/fraud mitigation plan in place?

Yes

If you are a qualified VSP, have you implemented STIR-SHAKEN in your network?

Yes

Are you a member of the US Telecom Industry Traceback Group (ITG)?

Yes

CUSTOMER QUESTIONANAIRE

Please indicate whether the Company, its principal(s), controlling person(s), or any individual(s) with an ownership interest in the Company are currently under an adverse judgment resulting from a civil lawsuit filed by the Federal Trade Commission or any other law enforcement action initiated by state or federal agencies. This pertains to matters concerning the use of telecommunications networks, encompassing, but not limited to, anything related to VoIP Services or robocalls.

Yes

Customer affirms that the Company has not and will not engage in any illegal use of Autelecom’s services, including but not limited to illegal robocalling or number spoofing", and will comply with all relevant U.S. legislation regarding illegal robocalling, number spoofing and any other legal U.S. law applicable to such services.

Customer affirms and certifies that all information and answers to questions herein are complete, true, and correct to the best of signatory’s knowledge and belief.

The signatory below represents and warrants that he/she has full capacity and authority to sign on behalf of the customer.

Signature