Help us keep your information current and up-to-date. Complete this form, print and mail it to the address below.
Click here for an online version of this form.
User Information |
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* User ID/Account ID
(i.e.abc00001) |
______________________________ |
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*First
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______________________________ |
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*Last
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______________________________ |
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*Mailing Address
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______________________________ ______________________________ |
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City
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______________________________ |
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State
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_____ Zip _________ |
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*Phone
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____________________ |
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Fax
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____________________ |
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Email Address
Please indicate the email address you use most frequently |
______________________________________ |
| * denotes mandatory field | |
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Payment
Coupons |
If you need to order more payment coupons, please check this box. ____ Send more coupons! |
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Thank you for helping keep our records up-to-date!
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Please print this form and send it to:
WVNET
ATTN: Libby Cress
837 Chestnut Ridge Rd.
Morgantown, WV 26505
Or fax: 304.293.2481
Please call 304.293.5192 x 258 if you have any questions.