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MM Internet Customer Relocation Form

Name the Account is Under
Telephone Number the DSL is currently on
Email Address to Reply to

 Address Information

Current Location
Please enter in the address of the location you currently have DSL installed at (include city, state & zip):

Please enter the date you wish to have your DSL cancelled

 

New Location
Please enter in the address of the location you are moving to (include city, state & zip):

Please enter the telephone number of the new location you are moving to even if it is the same

Please specify the date that the telephone number will be activated at the new location

Please enter in a new contact number even if it is still the same

*Please note that your old location must be disconnected before your new location can be installed if it is the same phone number.  If you have any questions or problems, please email info@mminternet.com.

Comments or Special Instructions

 

 




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