Cancel to case

Account # (if Known)
Company
Contact Name*
Email*
Phone*
Reason*	--None-- Moving Home Changing Providers No Longer Require Service Seasonal Hold (there is currently a $15/mo admin fee for months service is turned down)
Service Address*	Street: City: State: Zip:
When would you like to cancel service*
Do you have one of our routers?	yes no
I confirm that all the information provided above is true and accurate.* I confirm that I am authorized to make account decisions.* I consent to the cancellation of my Intermax service.*
(*) Required fields