Customer Care Request Forms

Cancellation Request

Note: EVERY CIRCUIT WILL REQUIRE A SEPARATE CANCELLATION SUBMISSION.

Requester Full Name(Required)
Today's Date

Customer Company Name(Required)
Customer Phone(Required)

Customer POC(Required)
Customer Email(Required)

Service Type
Circuit ID(Required)

Enter Lit or Dark Circuit ID Info

Order Number(Required)
Contract Number(Required)

Service Delivery Project Manager’s Name(Required)
Account Rep’s Name(Required)

Monthly Service Charge(Required)
Non-Recurring Charges(Required)

Additional Comments, Instructions or Contact Information
Description limited to 350 characters
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