Annual Report Of Competitive Telecommunications Carriers To The Oklahoma Corporation Commission Form - 2004 Page 8

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S
4. C
I
CHEDULE
ONTACT
NFORMATION
In order to ensure that OCC correspondence is directed to the
appropriate person at the correct address, please complete the following.
C
I
P
C
F
ONTACT
NFORMATION FOR
ERSON
OMPLETING THIS
ORM
____________________________________________________________________
Name
Title
____________________________________________________________________
Address
____________________________________________________________________
City, State Zip
(_____)______-_____________________(_____)______-_____________________
Voice number (including area code)
Facsimile number (including area code)
____________________________________________________________________
E-mail address
____________________________________________________________________
Company URL(s) for Financial & Regulatory Information:
R
’
C
P
ESPONDENT
S
ONTACT
ERSON REGARDING
P
U
D
C
I
UBLIC
TILITY
IVISION
AUSES AND
SSUES
____________________________________________________________________
Name
Title
____________________________________________________________________
Address
____________________________________________________________________
City, State Zip
(_____)______-____________________(_____)______-______________________
Voice number (including area code)
Facsimile number (including area code)
____________________________________________________________________
E-mail address
Revised: June 2004
Page 8 of 11

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