Member Form

BEK Communications Cooperative is in the process of validating member information and requires your help. Please complete this form and submit it. If you prefer to update your records over the phone with one of our Customer Support Representatives, please call between the hours of 8:00 am-5:00 pm, Monday – Friday. You may reach us at 701-475-2361 to update your information, or if you have any questions regarding this matter.
Member Form
What is your marital status? *

Married Single
Full Name *

First Name Last Name
Social Security Number *
Date of Birth *

Month Day Year
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Mobile Phone Number
Signature (use your mouse or finger) *

Clear

JOINT MEMBERSHIP
BEK Communications Cooperative bylaws automatically recognize a husband and wife as joint members.
Spouse Information
Name *

First Name of Spouse Last Name of Spouse
Social Security Number *
Date of Birth *

Month Day Year
Mobile Phone Number

Thank You!
Thank you for your time and attention to this matter.

After clicking submit, your information will be sent to BEK Communications privately and securely.

Please do not hesitate to contact us at 701-475-2361 if you have any questions or concerns regarding this matter.
Please complete the math below and click Submit.
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Spouse Information