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 * Email * Phone * Account Number Please check the service(s) you would like to disconnect Telephone - $4.75/month plus taxes * Disconnect No Disconnection Needed Telephone disconnect date requested: * Telephone reconnect date requested: * Cable TV - $15.00 to reactivate * Disconnect No Disconnection Needed Cable TV disconnect date requested: * Cable TV reconnect date requested: * Internet - $15.00 to reactivate * Disconnect No Disconnection Needed Internet disconnect date requested: * Internet reconnect date requested: * 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.