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ACP TRANSFER-IN FORM
Date
(Required)
MM slash DD slash YYYY
Account Number
(Required)
Inter Mountain Cable, Coalfields Telephone and/or Mikrotec CATV Billing Account Number
ACP Application ID Number
(Required)
Name
(Required)
First
Last
Billing Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Guam
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Indiana
Iowa
Kansas
Kentucky
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Maine
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Massachusetts
Michigan
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New Jersey
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New York
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Northern Mariana Islands
Ohio
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Tennessee
Texas
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U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
Home Phone Number
(Required)
Cell Phone Number
I give my affirmative consent to transfer my ACP benefit to Gearheart Broadband (Inter Mountain Cable, Coalfields Telephone and Mikrotec CATV) and agree and certify that:
I understand my ACP benefit will be applied to my new service and will no longer be applied to service retained from the transfer-out provider.
(Required)
I may be subject to the transfer-out provider’s undiscounted rates as a result of the transfer if I elect to maintain service from the transfer-out provider.
(Required)
I am aware of the one ACP benefit transfer transaction per service month.
(Required)
Signature
(Required)
CAPTCHA
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HOME
ACP BENEFITS
TIVO+
SERVICES
STREAMING TV
TV EVERYWHERE
TV ON MY SIDE
FIBER BROADBAND
PLUME WIFI
PLUME WORKPASS
CABLE BROADBAND
BUDGET BROADBAND
PREPAID BROADBAND
BROADBAND SPEED TEST
DATA USAGE CHECKER
DIGITAL PHONE
MIKROTEC LONG DISTANCE
BUSINESS SERVICES
EQUIPMENT EXCHANGE
SUPPORT
ONLINE BILL PAY
HD LINEUPS
SECURITY
PRICING
RESIDENTIAL PRICING
BUSINESS PRICING
DIGITAL PHONE PRICING
CONTACT
ORDER
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facebook
youtube