Customer Proprietary Network Information Grant of Permission to Disclose CPNI to Third Party

Customer Proprietary Network Information Grant of Permission to Disclose CPNI to Third Party

By completing the form below you authorize the 3rd part listed to make inquiries regarding my Northern Telephone account concerning call details, billing, and general account information. This includes permission to make changes, and add services, to my account. Note: Capital credits and other membership privileges, such as voting, belong only to the member(s) listed on your account. This permission does not change that. If you want to change actual ownership of your account (i.e. add a spouse),