The following forms can be used to help expedite your order; whether you are applying for new service or making changes to an existing account. They are easy to use:

                                           1. Click on the desired form
                                           2. Complete all applicable areas
                                           3. Click the print button

                                           4. Sign, date and mail the form to

                                                      MCTC
                                                      PO Box 380
                                                      Fairview, IL 61432

Once the form is received in our business office a Customer Service Representative will contact you.

No changes or scheduling can be made without written authorization. 
Faxed forms are not accepted.

New Cooperative Membership Form

Membership Verification Form

Letter Of Authorization

Race and Ethnic Form

Automatic Payment Form

Carrier Freeze Form

Site Survey Form