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First Name Last Name Address Cell Phone Home Phone Email MCEPA ACCT NBR Contact You Internet Option Phone Sign Up Phone Line Existing Phone Bank Draft AGREEMENT Request Date Time
Joseph Richardson 30018A Guyton Rd
Amory, Mississippi 38821
6623156023 jrichardson@monroems.com 57402003 Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 6:39 am
Tyler Randolph 30224 Old Hwy 6
Nettleton, Mississippi 38858
6628250698 trandolph07@yahoo.com 71071-001 Text Message GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 6:47 am
Bobby Cleveland 30282 Bigbee Cutoff Rd
Amory, Mississippi 38821
6622313197 bacleve@att.net Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 Yes Keep my existing Phone Number First Phone Line - $29.95 6622561329 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 6:51 am
Lauren Carter 30193 Bigbee Cutoff Rd
Amory, Mississippi 38821
6626408614 6628251210 stanfordlaurene@gmail.com 9398-002 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 6:53 am
Dana Sloan 30005 Sloan Drive
Nettleton, Mississippi 38858
6623155519 dsloan250@yahoo.com Text Message GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 6:56 am
Tammie Galvan 30012 Hester Cutoff Rd.
Amory, Mississippi 38821
662-315-7778 tammiegalvan1@gmail.com Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 7:09 am
Tim Riley 30051 central grove road
Nettleton, Mississippi 38858
6624019499 6626870201 neely_263@yahoo.com 71242003 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 7:11 am
Donna Pickle 30237 Old Hwy 6
Nettleton, Mississippi 38858
16623155399 donnagray83@gmail.com 72256-001 Text Message GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 7:19 am
William Darden 30542 Camargo Rd
Nettleton, Mississippi 38858
6624019064 prettyboyperm@yahoo.com 19972001 Text Message, Email MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 7:51 am
JIMMY RAY 1208 HWY 371 S
NETTLETON, Mississippi 38858
662-231-9150 jimmyr426@yahoo.com 44933001 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 7:53 am
Peyton Free 30284 Old Highway 6
Nettleton, Mississippi 38858
6628251414 6628716497 peytoncierra97@yahoo.com 72847-001 Text Message GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 7:55 am
Joseph Williams 30016 Union Grove Rd
Nettleton, Mississippi 38858
6628711643 derek.williams@f5sweepers.com 70149-001 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:00 am
Mary Crump 49170 Crump Road
Hamilton, Mississippi 39746
6625492114 6624366869 marycrump@bellsouth.ney Text Message, Email MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:04 am
Garth Williams 30513 Highway 371
Nettleton, Mississippi 38858
6634017918 garthrwm@att.net 48033 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:08 am
Justin Posey 30535 Hwy 6
Amory, Mississippi 38821
6628913080 6623158829 justinposey99@gmail.com 72083001 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:09 am
Steven Bunn 30110 Johnson Mill Rd
Nettleton, Mississippi 38858
16623153153 dagr8steveo@gmail.com Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:12 am
Steven Bunn 30110 Johnson Mill Rd
Nettleton, Mississippi 38858
16623153153 dagr8steveo@gmail.com Phone Cell GIGA-PULSE 1 Gbps - $85.00 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:22 am
Ryan Benson 30018 swan dr
Nettleton, Mississippi 38858
6626402245 ryan.a.benson12@gmail.com Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:23 am
Matthew Long 30011 Cason Rd
Nettleton, Mississippi 38858
6624190271 mattlong82@gmail.com Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:25 am
Sidney Kozlowitz 1974 HWY 371 South
NETTLETON, Mississippi 38858
6626873683 sid_kozlowitz@msn.com 38841-001 Text Message, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:26 am
Olivia Englehardt 30035 Edwards Rd.
Nettleton, Mississippi 38858
662-305-5555 662-305-5511 diane38821@gmail.com Text Message MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:28 am
Billy Joe Tackett 30345 Old Highway 6
Nettleton, Mississippi 38858
6622137725 6622565426 colreb1947@yahoo.com 46145-001 Text Message MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:33 am
Terry Brown 30007 New Rd
Amory, Mississippi 38821
6626408801 tbrown51192@gmail.com 55908-001 Text Message, Email GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:36 am
Misty Benson 30317 Hwy 371
Amory, Mississippi 38821
6628250680 misty20@ourlook.com Text Message MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:38 am
Cassie Hester 30031 Blake Drive
Nettleton, Mississippi 38858
662-315-5105 cassiephester@gmail.com 48114001 Text Message, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:38 am
Walter Spain 30008 Whiteside Road
Amory, Mississippi 38821
16624015325 wdspain@bellsouth.net 52470-001 Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No 662-401-5325 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:43 am
Brenda Hill 30088 Seymore Rd
Nettleton, Mississippi 38858
6625231721 bhill876@gmail.com 23405-001 Text Message MEGA-PULSE 100 Mbps - $55.00 No 6625231721 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 8:58 am
Jonathon Roberts 30121 Highway 371
Amory, Mississippi 38821
6622790320 edrocks46@att.net 60638-001 Text Message MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:01 am
Mike Hester 30264 Old Highway 6
Nettleton, Mississippi 38858
6623151839 6622568321 eoutlaw81@yahoo.com Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:05 am
Richard Adams 30179 Bigbee Cutoff Rd
Amory, Mississippi 38821
662-315-5016 rladams52@bellsouth.net 72562002 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:13 am
Glenn Stanford 30195 Bigbee Cutoff Road
Amory, Mississippi 38821
6623154544 6623151191 onecall.services@yahoo.com 9398-001 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:14 am
Pamela Tate 30154 Bigbee Cutoff Road
Amory, Mississippi 38821
6628250246 pamelalyda@gmail.com 58376001 Text Message MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:17 am
Alisha Laney 30022 Gilmore lane
Amory, Mississippi 38821
6623156757 alishadee1984@gmail.com 71163001 Text Message GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:39 am
Thomas Beam 30011 guyton rd
Amory, Mississippi 38821
6623055207 brendabeam@att.net 21420-001 Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:39 am
Dwight Kennedy 30143 Guyton Road
Amory, Mississippi 38821
6623055022 6622569795 curlytop55buick@yahoo.com 16042-001 Email MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:46 am
Nick Martin 1000 Jo Ritter Rd.
Nettleton, Mississippi 38858
6628913713 nickm4324@gmail.com Text Message GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:47 am
Steven Ray 30055 Hester cutoff road
Amory, Mississippi 38821
6623977704 Steven_cyndi_ray@att.net Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 9:59 am
Cynthia Richardson 30067 new rd
Amory, Mississippi 38821
6623152672 chrichardson1960@yahoo.com 21000001 Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 10:04 am
Jennifer Wren 747 Hwy 371 S.
Nettleton, Mississippi 38858
662-315-0528 662-315-0459 michele_wren@yahoo.com 41929001 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 10:19 am
Nick McDaniel 30258 BIGBEE CUTOFF RD
AMORY, Mississippi 38821
6623222700 kristen.mcdaniel6@gmail.com Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 10:19 am
MARY MORELAND 30194 Johnson Mill Rd
Nettelton, Mississippi 38858
6624195592 moparmary@outlook.com 559356001 Text Message, Email GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 10:33 am
Anabelle Rutherford 30216 central grove toad
Nettleton, Mississippi 38858
6626871096 6625231700 graceana14@yahoo.com 71138-002 Text Message, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 10:37 am
Ann Hester 30248 Old Hwy. 6
Nettleton, Mississippi 38858
662-640-8291 662-256-7393 nolandhester@gmail.com 16932001 Text Message, Phone Cell MEGA-PULSE 100 Mbps - $55.00 Yes Keep my existing Phone Number First Phone Line - $29.95 662-256-7393 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I AGREE TO SIGN UP FOR AUTOPAY USING BANK DRAFT. (SEE ATTACHED FORM) I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 10:48 am
William Harrington 30006 Whiteside Rd
Amory, Mississippi 38821
6623466689 bharrington4943@gmail.com Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 11:19 am
Jeff McCollum 30181
Central Grove Rd
Nettleton, Mississippi 38858
6623227503 6623227503 mccollumjeff@bellsouth.net Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 11:34 am
Ricky Cox 2105 jo Ritter rd
Nettleton, Mississippi 38858
6622559164 6623154226 coxjackie743@gmail.com 22928-001 Text Message, Email, Phone Cell MEGA-PULSE 100 Mbps - $55.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 11:41 am
Deborah Conway 20054 Booker T Rd
Aberdeen, Mississippi 39730
2512881154 dcreations1957@gmail.com Text Message MEGA-PULSE 100 Mbps - $55.00 Yes Give me a New Phone Number First Phone Line - $29.95 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 12:18 pm
Lacey Stewart 30072 new rd
Amory, Mississippi 38821
6626104149 lacey_kimble2000@yahoo.com 73157001 Text Message, Email, Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 12:43 pm
Jeffrey and Keely Kimble 30084 Guyton Road
Amory, Mississippi 38821
6626405417 keelykennedy3210@yahoo.com Phone Cell GIGA-PULSE 1 Gbps - $85.00 No I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 12:47 pm
Walter barksdale 30005 jack brown rd
Amory, Mississippi 38821
6623157777 Webarky@gmail.com MS Text Message, Email MEGA-PULSE 100 Mbps - $55.00 No 6623157777 I AGREE TO RECEIVE AN E-BILL STATEMENT (VIA THE SAME EMAIL ADDRESS IN THIS FORM) AND NOT A PAPER BILL., I WOULD LIKE TO SIGN UP FOR AUTOMATIC BANK DRAFT FOR M-PULSE FIBER USING THE SAME BANK ACCOUNT INFORMATION ALREADY BEING USED FOR MONROE COUNTY ELEECTIC POWER ASSOCIATION. I AGREE TO NOTIFY M-PULSE FIBER IF ANYONE IN THE RESIDENCE IS DIAGNOSED WITH COVID-19., I CONFIRM I AM THE OWNER OF THE PROPERTY WHERE SERVICE IS BEING REQUESTED OR HAVE THE PERMISSION FROM THE PROPERTY OWNER., I HAVE RECEIVED A COPY AND AGREE TO THE SERVICE APPLICATION/AGREEMENT WITH GENERAL TERMS AND CONDITIONS. October 16, 2020 at 12:47 pm

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