Crosslake CPNI Opt Out Form

Customer Proprietary Network Information (CPNI) Restriction Form

Please complete and submit the form below to restrict Crosslake Communications' use of your Customer Proprietary Network Informaiton (CPNI) for the purposes of offering you new types of products and services from Crosslake Communications. Restricting our use of your CPNI will not eliminate other types of marketing contacts from Crosslake Communications, nor will it eliminate our use of your CPNI to offer you additional services of the type you already purchase from Crosslake Communications.

To restrict our use of your CPNI, please complete and submit the form below for each telephone number for which you receive a separate bill from Crosslake Communications.

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Billed Phone # *

Customer Account # *