Line Reactivation Fee: $15
This form is for BYUH Employees/Retirees and PCC Employees to reactive their account if it has been suspended due to late payment after more than 14 days.
Name of BYUH Employee/Retiree or PCC Employee
First Name
Last Name
Name of User
*
First Name
Last Name
Phone Number
*
Contact Email
*
Type a question
My Products
*
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Line Reactivation Fee
$
15.00
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