Cancellation Request - Fiberlight Fiberlight

Requester Full Name(Required)

Today's Date

FBL Customer Company Name(Required)

Enter your company name (the Fiberlight Customer's Company requesting a cancellation, not your end user company).

FBL Customer Phone(Required)

Enter the Fiberlight Customer's Phone Number

Customer POC(Required)

Email Address(Required)

Enter the email address that will receive confirmation of this Cancellation request with a ticket number to reference.

Service Type

Circuit ID(Required)

Enter Lit or Dark Circuit ID Info

Order Number(Required)

Enter the Order Number from the executed Contract

Contract Number(Required)

Enter the contract number. If unknown, enter Unknown

Service Delivery Project Manager’s Name(Required)

Enter the full name of the SDPM working the order to be cancelled

Account Rep’s Name(Required)

Monthly Service Charge(Required)

Non-Recurring Charges(Required)

Additional Comments, Instructions or Contact Information

Description limited to 350 characters

Upload Your KMZ File (ZIP required)

Accepted file types: zip, Max. file size: 10 MB.

.ZIP REQUIRED (please compress KMZ file in .ZIP format before uploading)

Upload Additional Documents

Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, Max. file size: 10 MB.