2000/2001 Remittance Worksheet Instructions - Kansas Universal Service Fund Page 12
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17Kansas Universal Service Fund
2000/2001 Remittance Worksheet Instructions
Please mark one:
Use Section 1- Line 1
Other, provide address below
Company Code: KS-
Company Name:
Attn.:
Statement/ Billing Address:
City/ State/ Zip:
Telephone:____________________ E-Mail Address:_______________________
Additional Address for Future Mailings
Company Code: KS-
Company Name:
Attn.:
Statement/ Billing Address:
City/ State/ Zip:
Telephone:______________________ E-Mail Address:___________________________
Attachment C
,
Please submit to: Manager, KUSF Administration
.
80 S. Jefferson Rd., Whippany, NJ 07981. Phone: 973-884-8011
KUSF Company Information
Please complete the requested information listed below and submit to the KUSF Administration
Company Information
The information will be used for informational use only:
Page 12 of 16
Revised 2/00
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