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TOWNLINK CUSTOM SERVICE REQUEST
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Full Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Street Address
*
Your answer
Zip Code
*
Your answer
City
*
Choose
Blackwell
Cadet
Mineral Point
Potosi
Spring Town
Tiff
Not Listed
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Your answer
State
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Choose
Missouri
Speed Requirement Down (Mbps)
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Choose
50
100
300
600
1000
Not Sure
Speed Requirement Up (Mbps)
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Choose
50
100
300
600
1000
Not Sure
Other Services
Static IP
Network Set-Up
Server Hosting (coming soon)
Other
If Other, please write below
Your answer
Current TOWNLINK Customer?
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Yes
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