Cable Television Complaint Form
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1.

Please complete the Cable Television Complaint Form. Pursuant to the Franchise Ordinance, you may qualify for a credit or refund. A copy of your complaint may be sent to the cable company. If the complaint cannot be resolved, further action may be taken by the Franchising Authority.

1. What is your First Name?

What is your First Name?

2. What is your Last Name?

What is your Last Name?

3. What is your Street Address?

What is your Street Address?

4. What City do you live in?

What City do you live in?

5. What State do you live in?

What State do you live in?

6. What is your Zip Code?

What is your Zip Code?

Cable Television Complaint Form Exit This Form >>

1.

Cable Television Complaint Form
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