A r c h i v e d  I n f o r m a t i o n

APPENDIX C

Recommended Application Forms

Schools and Libraries Universal Service Fund

Application for Eligible Services

FCC Form III

BLOCK 2: Commencement of Service

	Date Service Commenced: _____/ _____ / _____
	Service is/will be provided on:	¤	on going basis
		¤	provided in full

[ Form III, Block 1: Requester/Notifier Information ]				[ Form III, Block 3: Certifications, Signatures and Seal of Notary Public

This page last updated 8/10/97 (pjh).