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Request for Termination of Service
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Account Information
Account Number
*
Name on Account
*
Service Address
*
Requested Turn-Off Date: mm/dd/yyyy
*
(Requests for termination must be performed on a business day. Requests for termination will be processed the following business day if received by 5:00 pm Monday - Thursday, and by 4:00 pm on Friday, except for holidays.)
Contact Information
Forwarding Address
*
City
*
State
*
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Zip Code
*
Contact Phone Number
*
Email
Would You Like a Confirmation Receipt for Your Request?
*
Yes
No
A closing bill will be mailed to your forwarding address usually within two weeks of termination. If the closing balance is a credit, a refund check will be mailed to the forwarding address usually within six weeks of termination. The contact phone number is required in the event we have questions regarding your account.
* indicates required fields.
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