Crosslake Seasonal Disconnect CrossLake Seasonal Disconnect Please fill out this form with your DISCONNECT AND RECONNECT DATES. • Notice of vacation/seasonal disconnect must be submitted yearly in writing. • Reconnect date is required. If reconnect date falls on a weekend or holiday, service will be reconnected the prior business day. • Seasonal disconnect is six months maximum or fees will apply - if the request is longer than 6 months a minimum of $10 per month plus equipment fees will apply on the bill. • Reconnect charges will be applied to first bill upon reconnection. • Phone must be reconnected within 6 months to keep phone service active. • Crosslake Long Distance and Onvoy customers will be charged an additional $3.95 per month. • Rates subject to change based on FCC Subscriber Line Charge • During your disconnected months, you will be able to dial 911 or 611 (Crosslake Communications) First Name * Last Name * Service Address * Billing Street Address Billing City Billing State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Billing Zip Email * Phone * Account Number (Please only put your account number in this field. Comments go below in the comments field.) Comments? Please check the service(s) you would like to disconnect Telephone - $4.75/month plus taxes * Disconnect No Disconnection Needed Telephone disconnect date requested:Please choose the YEAR and MONTH you want service disconnected and reconnected. * Telephone reconnect date requested: * Cable TV - $15.00 to reactivate * Disconnect No Disconnection Needed Cable TV disconnect date requested:Please choose the YEAR and MONTH you want service disconnected and reconnected. * Cable TV reconnect date requested: * Internet - $15.00 to reactivate * Disconnect No Disconnection Needed Internet disconnect date requested:Please choose the YEAR and MONTH you want service disconnected and reconnected. * Internet reconnect date requested: * Winter Rate Internet plan to keep your cameras and thermostat on while you are away. Internet speed 1meg down/5meg up which is adequate for your security devices. Maximum Winter Rate is 6 consecutive months during a 12-month period. $34.95/month Yes, I will take Winter Rate Internet No, I do not want Winter Rate Internet Winter Rate Start Date Winter Rate End Date Keep crosslake.net E-mail active ($5.95/month per E-mail address) Yes No N/A Terms of Acceptance and Signature Please type your First and Last Name * Date * I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. If my dates are past the six months maximum, I understand and agree to pay the fees that will be applied to my bill. reCAPTCHA Submit
