Barnesville Telephone Company
102 Front Street North - P.O. Box 550, Barnesville, MN 56514
Phone: 218-354-2292
Fax: 218-354-2472
Telephone Account Password Form
Customer Name*: _________________________________________
Date: _______________
(Picture ID Required)
Customer Address: ________________________________________
Phone Number
_________________________________
Picture ID Verified by: ______________________________________
Establish a new password:
New Password _____________________________________
( 10 digits long)
Change Password
Old Password ______________________________________
New Password _____________________________________
Add Name to Account: _____________________________________
(For adding “MR” or “ MRS” only)
Do you want this name to appear in the phone book? Yes_____
No______
Additional People you would like to have access to your account.
(Apply In person—Picture ID Required)
________________________________________________
________________________________________________
Signed:
____________________________________________
Date: _________________
* Customer name must be listed on the account and show Government issued picture ID to
change password or any other account information.