Business Form

BEK Communications Cooperative is in the process of validating business 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. You may reach us at 701-475-2361 to update your information, or if you have any questions regarding this matter.

Organization Name

Federal Tax ID

Organization Physical Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Organization's Email

example@example.com

Organization's Phone Number

Mailing Address: (If different from above)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Signature

Clear

Date

Per FCC rules regarding Customer Proprietary Network Information (CPNI the following data must be provided and returned to BEK Communications. CPNI restricts discussion of your account, account details and/or phone call transaction detail to the account owner and any Authorized Contacts. Use the fields below to identify and approve ALL Authorized Contacts for your account. By doing so, you authorize BEK Communications to allow each listed individual to access your account. Due to FCC's rules for CPNI, BEK can only discuss account information and call detail with Authorized Contacts. Any person(s) who will need to inquire about service/billing details, or make changes to the account will need to be listed below.

CPNI Authorized Contact

Contact Number

CPNI Authorized Contact

Contact Number

CPNI Authorized Contact

Contact Number

BUSINESS MEMBER FORM