Capital Credits

# A B C D E F G H I J K L M N O P Q R S T U V W Y Z

A & T ENTERPRISES SERVICES

AARON CHUCH OF GOD

AARON H G (GROCERY)

AARON JAY

AARON JOSIE

AARON PHIL C (PLACE)

AARON THELMA M

ABATTOIR SHURLING

ABBOTT BUD RIVERHOUSE

ABBOTT SHERRIE

ABBOTT WOODS

ABBOTT WOODY

ABEL KENNETH

ABERCROMBIE MR/MRS GEORGE W

ABRAHAMS MRS ELAINE

ACKERMAN JOYCE

ADAIR CHARLES M

ADAMS & ADAMS BLDG. CONTR.

ADAMS BILLY W

ADAMS BLDG. CONTRAC.

ADAMS C L

ADAMS CLINT

ADAMS ELIZABETH MRS

ADAMS GEORGE W

ADAMS HARRIETTE C

ADAMS HERBERT LEE JR

ADAMS J R MRS

ADAMS THELMA J

ADAMS TIM

ADAMS WILLIE C

ADDINGTON DAVID & LISSA

ADKINS LARRY W

AERO SPRAY INC.

AFROOZI KEYHAN A

AIKEN DEANA D

AKERMAN WILLIE J

AKINS & SONS FARM

AKINS CABINET SHOP

AKINS D M

AKINS D P

AKINS DEROY M

AKINS E C

AKINS EDWIN P

AKINS F A

AKINS FRANCES D

AKINS FRED M

AKINS GARY JR

AKINS H E

AKINS HARRY E

AKINS HARVEY

AKINS HEIDI

AKINS HERMAN B

AKINS INMAN W

AKINS J DOY

AKINS J L

AKINS J O REV

AKINS JAMES W (JIM)

AKINS JEAN

AKINS JEFF

AKINS JEFF S

AKINS JEWEL

AKINS JOE OLLIFF

AKINS JOHN F

AKINS JOHN L & SONS

AKINS JOHN ROGER

AKINS MARION A

AKINS OTHA L

AKINS P J

AKINS ROBBIE

AKINS ROBERT L

AKINS RUBY H

AKINS RUSS

AKINS S E

AKINS STEPHANIE

AKINS SUZANNE

AKINS T M

AKINS TAB

AKINS TOM

AKINS TRANSPORT - FAX

AKINS W W

AKINS WELL & PUMP SERVICE

AKINS WENDELL & WENDY

ALAMO PLAZA MOTEL

ALAMO PLAZA PAY STATION

ALAMO PLAZA RESTAURANT

ALBERTIN ROBERT & VIRGINIA

ALDERMAN DAWN

ALDERMAN EMMITT A

ALDERMAN FRED M

ALDERMAN H EARLE

ALDERMAN HIRAM EARL

ALDERMAN J D MRS

ALDERMAN JAIME

ALDERMAN JIMMY

ALDERMAN MATHEW

ALDERMAN TOMMY

ALDERMAN W R

ALDRED WALTER CO.

ALDRICH A Q

ALDRICH AILEEN

ALDRICH BOBBY

ALDRICH CHARLIE T

ALDRICH FRANK

ALDRICH GULF SERV. STATION

ALDRICH HALDEAN

ALDRICH IRON WORK

ALDRICH JAMES

ALDRICH JERRY

ALDRICH JOE

ALDRICH JOHNNY

ALDRICH RALEIGH

ALDRICH ROBERT

ALDRICH TALMEDGE

ALERT SIGN COMPANY

ALEXANDER BILL AND CHRIS

ALEXANDER HARRY E

ALEXANDER JOSEPH VERNON

ALEXANDER SANDRA

ALFORD ROB

ALIFFI DENNIS

ALLEN BARNEY

ALLEN BARNEY SR

ALLEN BECKY

ALLEN CHARLES K

ALLEN CHARLES T

ALLEN CINDY A

ALLEN DANNY K

ALLEN DAVID H

ALLEN DONALD N

ALLEN EDNA

ALLEN FRANCIS W

ALLEN HAZEL

ALLEN J D RIVER HOUSE

ALLEN J W

ALLEN JANNIE M

ALLEN JIMMY E

ALLEN JOSEPH L

ALLEN KATHY

ALLEN LEMUEL

ALLEN MILDRED

ALLEN MRS BENNETT

ALLEN RAY L

ALLEN ROBERT L

ALLEN ROSSEVELT

ALLEN VERA

ALLEN W N

ALLEN'S ELEC & PLUMBING PAGER

ALLEN'S GROCERY

ALLEN'S REFRIGERATION AND ELEC

ALLGOOD MIKE

ALLIGOOD B

ALLMOND MARIE

ALLMOND MARY J

ALLMOND TRACI

ALLRED BETHEL E

ALOJADO MANUEL JACOB & AUDREY

ALSTON JESSIE MAE

ALSTON MARTHA LEE

ALTMAN C B

ALTMAN DARLINE

ALTMEYER TOM

ALVERSON I RAY

AMBROS HENRY F

AMERICAN DISTRICT TELEGRAPH CO

AMERICAN TEL & TEL CO

AMERSON BUDDY

AMERSON LONNIE

AMMONS LAFAYETTE

AMMONS REV ROBERT

ANCHEZ KENNETH A

ANDERSON & ASSOCIATES

ANDERSON & SON'S FORD TRACTOR

ANDERSON A C MRS

ANDERSON ALVIN

ANDERSON ANGIE

ANDERSON AUDREY

ANDERSON B H

ANDERSON BRIAN & ANN

ANDERSON CHARLES W

ANDERSON COHEN

ANDERSON D D

ANDERSON DAVID

ANDERSON DENNIS

ANDERSON DENNIS E

ANDERSON DERITA M

ANDERSON DERRELL

ANDERSON E A

ANDERSON EDWARD

ANDERSON EDWARD C

ANDERSON F EDWARD

ANDERSON F H

ANDERSON GENE

ANDERSON GORDON L

ANDERSON GORDON P

ANDERSON GROCERY

ANDERSON H GARLAND

ANDERSON H J

ANDERSON HERMAN

ANDERSON IVERSON

ANDERSON J B PEANUT DRYER

ANDERSON J L

ANDERSON J L JR

ANDERSON J OLIN

ANDERSON JAMES

ANDERSON JANET S

ANDERSON JERRY

ANDERSON JOE - PAGER

ANDERSON JOE I

ANDERSON JOHN B CO

ANDERSON JOHN B PEANUT & GRAIN

ANDERSON KENDALL

ANDERSON L D

ANDERSON LENWELL

ANDERSON LILLIE

ANDERSON MARY

ANDERSON MIKE

ANDERSON MIKE B

ANDERSON O WAYNE

ANDERSON OWEN

ANDERSON P D

ANDERSON PATRICIA

ANDERSON QUINTON

ANDERSON R F JR & LILLIAN

ANDERSON R F SR

ANDERSON RONALD W

ANDERSON RUDOLPH

ANDERSON SAMMY

ANDERSON SANDRA

ANDERSON TONYA PONDHOUSE

ANDERSON TRUMAN F

ANDERSON VARIE

ANDERSON W A

ANDERSON W D

ANDERSON W EUGENE

ANDERSON W J

ANDERSON W LESLIE

ANDERSON W P JR (BILLY)

ANDERSON W R

ANDERSON W S

ANDREWS CARL W

ANDREWS CYNTHIA B

ANDREWS R L

ANDREWS RALPH

ANDREWS ROBERT L

ANDREWS THOMAS E

ANESTHESIOLOGY CRITICAL CARE

ANGLIN KAY

ANNIE M'S RESTAURANT

ANSLEY ETHEL MITCHELL

ANSLEY J A

ANSLEY OTIS

ANTHONY J M

ANTHONY TONY

ARCOLA FIRE STATION

ARENS FRANCIS E

AREX CORPORATION

ARMISTEAD RONALD

ARNETT ESTELLE LOTT

ARNOLD ANNA JANE

ARNOLD GEORGE W

ARRINGTON JO ANN

ARRIOLA JOEL

ARROW FENCE & DECK CO

ARROW FENCE COMPANY

ARTHUR RAY L

ASERON C

ASPINWALL EMORY

ATKINS DAVID W

ATKINSON JAMES

ATKINSON MARK

ATKINSON WALTER JR

ATTAWAY LATRESSE H

AURLAND NORMAN SHOP

AUSHERMAN RONALD

AUSTIN GERALD

AUSTIN REX

AVERITT DAVID H JR & PAM

AYCOCK & IDDINS

AYCOCK AND WILLIAMS

AYCOCK ELSIE J

AYCOCK HARRY D

AYCOCK OLIVIA

AYCOCK TOWER CO

BULLOCH TELEPHONE COOPERATIVE CLAIM FORM

Existing Member Name(Required)

First Last

Existing Street Address

Street Address Address Line 2 City State ZIP Code

Updated Name(Required)

First Last

Updated Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Account Number

Member Number

Phone Number

In conjunction with the retirement of capital credits prior to 1990, I hereby make the following certification regarding my status or my entities status prior to receiving our patronage refund:

I am a residential customer and have not deducted the cost of communication service on any tax return for the years prior to 1990.

The qualified Member above is deceased and I am claiming the Patronage refund on their behalf. I have included a death certificate and a court document to verify that I am qualified to receive the refund and will distribute the proceeds according to the laws of Georgia.

My entity is incorporated under the corporate laws of Georgia and our state issued control number below.

Control Number

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