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TitonkaBurt Communications Authorization for Automatic Payment Customer Name TBC Account # Please deduct my monthly TBC bill from: (Please check only one) CHECKING SAVINGS Bank Name Routing # VISA
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How to Fill Out Titonka-Burt Communications Authorization Form:

01
Start by entering your personal information such as your full name, address, contact number, and email address in the designated fields.
02
Next, indicate whether you are a homeowner or a tenant by checking the appropriate box.
03
If you are a tenant, provide the name and contact information of your landlord or property owner.
04
Proceed to select the type of communication services you wish to authorize by checking the corresponding boxes. This could include landline phone, internet, cable TV, or any other relevant services.
05
If applicable, provide any additional details or specifications about the services you are authorizing. For example, if you want specific channels or internet speed, mention it here.
06
Review the terms and conditions section carefully and make sure you agree with them.
07
Sign and date the form at the bottom to indicate your consent and acknowledgement.
08
Finally, keep a copy of the completed form for your records and submit it to the relevant authority.

Who Needs Titonka-Burt Communications Authorization Form:

01
Homeowners: Homeowners who wish to authorize communication services like landline phone, internet, cable TV, etc., in their property need to fill out the Titonka-Burt Communications Authorization form.
02
Tenants: Tenants who want to have communication services installed in their rented property must also complete this form. However, they need to provide the name and contact information of their landlord or property owner as well.
Please note that these instructions and the need for the Titonka-Burt Communications Authorization form may vary based on specific circumstances or requirements. Therefore, it is advisable to consult the relevant authorities or service providers to ensure accurate and up-to-date information.
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