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Get Centurylink Linternet Basics Wa Application Documents English Form

Ve steps and fill in all information as completely as possible. The information on this application is strictly confidential and will only be used to verify your eligibility for the CenturyLink Internet Basics program and service. Once you have completed and signed this form please mail or fax the form and copies of supporting documents as instructed at the bottom of the fourth page. Once your form and supporting documentation is received, CenturyLink may contact you regarding your eligibility a.

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