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Name Change Form

Lakeland Communications

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Name Change Form

Lakeland Communications
825 Innovation Ave.
P.O. Box 40
Milltown, WI 54858
715-825-2171

I would like to update how my name appears on Lakeland Communications account.

Account#:  

Name as it appears on account currently:  

Name as you would like it to appear on account:  

Date:

 

Note: Lakeland Communications may call your telephone number on record once this form is received to verify the accuracy of this request.

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Name Change Form

Lakeland Communications

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