Customer Request Form


	TWIN OAKS CO.				COMMUNICATIONS

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  Brad Albert
  Twin Oaks Co.
  641-622-2619
  22359 Hwy 92
Sigourney, Iowa 52591-8337

  twinoaksco@iowatelecom.net

Customer Request Form

Request for Information: Please complete the following form and click Submit. We will contact you as soon as possible regarding your request.

		First Name *		Last Name *

		Street Address

		City		State		Zip Code

		E-mail Address *

		Contact Phone		How do you wish to be contacted?

How did you hear about us?

Yellow Pages	Internet
Newspaper	Other

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"We Work Hard To Earn Your Trust"