ACP Benefit Transfer

ACP Benefit Transfer

I hereby authorize the transfer of my ACP benefit to Northeast Missouri Rural Telephone Company (NEMR). I give permission for NEMR to initiate the transaction in NLAD on my behalf to transfer said benefit to NEMR.

I acknowledge that once the transfer is complete, I will lose my ACP benefit and/or with my former eligible telecommunications carrier (ETC). I also acknowledge that NEMR has explained that I may not have multiple ACP benefits with the same or different providers, and I am limited to one benefit transfer per service. Transfers will be limited to one per service month.

NEMR
718 S West St, PO Box 98
Green City, MO 63545
660-874-4111
Name(Required)
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