Register your VOIP/Cell Phone

*First Middle Initial *Last

Your Address: (Please use your complete address.)

*Address: Apt. #:

*City: *State: *ZipCode:

County:

Contact Information:

Cell Phone Numbers: (example: 000-000-0000)

Cell #1: Cell #2: Cell #3:

Cell #4: Cell #5:

VoIP Phone Numbers: (example: 000-000-0000)

VoIP #1: VoIP #2: VoIP #3:

VoIP #4: VoIP #5:

*Email Address: *Confirm Email:

By clicking the box below, I verify that I am authorized to make changes to the above telephone numbers, that I have verified that the name, address and phone numbers are correct, and that I give permission to my area's emergency services organization to add the above contact Information into their Target Notification Services database. I also acknowledge it also signifies that I have read and understand than the Opt-In Service is used for registering VoIP and Wireless telephone numbers and corresponding addresses, only. That it does not make any changes to 9-1-1 wireline data if I enter a wireline telephone number into this site. That it does not verify the accuracy of the telephone numbers or corresponding addresses registered on this site. That it does not provide the ability to unregister a telephone number once it has been registered. Intrado claims no responsibility for the accuracy of the data entered or the ability to use the date to launch emergency notifications if any part of the entered data is inaccurate or incomplete or the address is outside the Emergency Services Providers' service area.

I agree*