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?

* 2. What is your Last Name?

* 3. What is your Street Address?

* 4. What City do you live in?

* 5. What State do you live in?

* 6. What is your Zip Code?

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