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  1. Click ‘Get Form’ to open the Internet Basics Application in our editor.
  2. Begin by entering the date at the top of the form. Ensure all fields are filled out completely for accurate processing.
  3. Provide your personal information, including your first name, last name, middle initial, address, city, state, zip code, and telephone number. Make sure to include a current email address for communication.
  4. Indicate your participation in any qualifying programs by checking the appropriate boxes and attaching necessary documentation as specified.
  5. Select your desired High-Speed Internet (HSI) service options and equipment from the provided choices. Review pricing details carefully.
  6. Read and sign the certification statement at the bottom of the form to confirm that all information is accurate and complete.
  7. Once completed, save your document and follow instructions to mail or fax it along with supporting documents to CenturyLink.

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