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3145 Prairie Street SW, Suite 103
Grandville, Michigan 49418
P 616-249-9599 TF 866-240-2500
www.millenniatele.com
peterb@millenniatele.com

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Schedule an Appointment with Millennia Telecom

When you complete the appointment form,
an Account Representative from Millennia will call you
to confirm your appointment and review details.

For immediate help, call us toll free at 866-240-2500

First Name:

Last Name:

Company Name:

Email Address:

Telephone:

Appointment Date First Choice:

Select Date

Appointment Date Second Choice:

Select Date

Best time for appointment:

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