Stop service Stop service Service address Date to stop service at above location Account information Account # Name (first and last) Primary phone # Type - Type -HomeOfficeCell Primary Phone # Email address Forwarding address Forwarding address Address City/Town State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Reason for stopping service Reason for stopping service I am a renter moving out I am the property owner and do not want service at this time The above property has sold and is transferring ownership Landlord information Landlord's name Landlord's phone # I understand there is a $100 disconnect fee that I agree to pay There will be a $100 reconnect fee when service is reconnected. New owner or realtor name Please list the new owners or the realtor, if the new owner is not known New owner or realtor's phone # Member's signature Sign above CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
