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Cable Complaint Form |
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First Name * Last Name * Street# * Street Name * City * State * Zip Code * Home Phone Work Phone Ext Cable Acct Number E-Mail Address * The fields marked with an asterisk (*), are required. Check the box(es) that best describe your Cable Issue(s) |
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Installation Unburied/Fallen Cable Poor Reception/Signal Billing Customer Service Missed Appointment Rate/Promotional Service Repairs Internet Service Other (Please Describe) Please enter additional comments below: |
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