CrossLake Seasonal Disconnect

If you are human, leave this field blank.

Notice of vacation/seasonal disconnect must be submitted yearly in writing. Vacation/seasonal disconnect is six months maximum. Reconnect date is required. If reconnect falls on a weekend or holiday, service will be reconnected the prior business day.

First Name *

Last Name *

Service Address *

City *

State *

Zip *

Email *

Phone *

Account Number

Please check the service(s) you would like to disconnect

Telephone - $4.75/month plus taxes

Telephone disconnect date requested: *

Telephone reconnect date requested: *

Cable TV - $15.00 to reactivate

Cable TV disconnect date requested:

Cable TV reconnect date requested:

Internet - $15.00 to reactivate

Internet disconnect date requested: *

Internet reconnect date requested:

Keep crosslake.net E-mail active ($5.95/month per E-mail address)

Yes

N/A

Please read and sign below:
Phone Service:
Must be reconnected within six (6) months to keep phone number and account 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).

Cable Service:
Six (6) months maximum or modem/router and other equipment must be returned.

High Speed Internet Service:
Six (6) months maximum or modem/router and other equipment must be returned.

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