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KANSAS BUSINESS SERVICE APPLICATION

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Business Name*

Mailing address*

911 address*

Contact number where you can be reached*

Tax ID Number

Primary Business Contact*

Type of Business*

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BASIC LOCAL SERVICE PER LINE PER MONTH $30.33 (CITY/SINGLE) $29.57 (RURAL SINGLE)

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MOKAN COMMUNICATIONS

Come By Our Office:
112 South Broadway
Louisburg, KS 66053

Call Us:
Office: (913) 837-2219
Toll Free: (800) 758-1715
Fax: (913) 837-5108
Trouble Reporting:
(913) 837-2222