Crosslake Seasonal Disconnect CrossLake Seasonal Disconnect 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 * Billing Street Address City 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 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: Internet speed 1mg down & 5mg up. Maximum 5 consecutive months from September -March $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 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 Submit If you are human, leave this field blank.