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Whitelist Request Form Confirmation (for Verizon Online Members)


Please fill out this form in its entirety so that we are better able to address your request. Fields marked with an asterisk (*) are required.


1. Personal Information


Your first name:*

 


Your last name:*

 


Your contact e-mail address:*
(please include "@[your domain]"; for example, janedoe@verizon.net)

 


Please re-enter contact e-mail address:*
(for verification purposes)

 


Your daytime contact phone number:*

 


2. E-mail/Domain Inquiry Details


E-mail address or domain you cannot receive e-mail from:*
(e.g., companyname.com or jane@companyname.com; separate multiple entries with commas)

 

  (what's this?)

Outgoing mail server:
(e.g., outgoing.companyname.com)

 

  optional
  (what's this?)

Additional information
describing your problem:

(45-word limit)

 

  optional





*Verizon Online reserves the right to restrict access to or from any domain provided at its sole discretion. The information provided to Verizon Online must be wholly correct or the request may be rejected. We cannot guarantee that we will be able to provide a solution that enables you to send or receive e-mail from a restricted source.






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