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Internet Cancellation Form
Intermax
Internet Cancellation Form
**Please be advised, a 30 day notice is required to cancel your internet service.**
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Account # (if known)
Name
*
First
Last
Reason for cancellation
*
Seasonal Hold (there is currently a $15/mon admin fee for months service is turned down)
Moving home
Changing service providers
No longer require service
If switching providers may we ask who?
Contact Number
*
Your contact telephone number
Email
*
Service Address
*
Please include the primary name on the account
When would you like to terminate service? (date?)
*
Do you have one of our routers?
*
Yes
No
Please be aware that if you have one of our routers then it will need to be returned to our office within 3 days of service termination.
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