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Get OR CenturyLink Internet Basics Program Application 2011-2024

Tion 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 second page. Once your form and supporting documentation is received, CenturyLink will contact you regarding your eligibility and to complete your order if approved. Original documents will not be returned. Telephone Numb.

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