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Move, Add, Change or Disconnect (MACD) Request
Please complete the form below. Once we receive your completed submission, we will respond to your request ASAP. Please call us at (207) 885-1000 or (877) 996-3883 if you need help or if have any questions.
Your Contact Information
Name
First
Last
Phone
Email
Customer Information
Company Name
Physical Service Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
On-Site Contact Person:
Name
First
Last
Phone
Email
Please describe the changes that you are requesting to the customer's current services
Who will contact the customer to process the MACD?
I will contact the customer
Net.Tel will contact the customer
Enter Code
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