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*Summer/Winter break hours are 8:00 am - 4:00 pm

Business Accounts

Telephone Line Disconnect Request
Form

Telephone line disconnect orders are usually completed within seven to ten business days

Contact Information
Your Name:	Your Telephone Number:	Your Email Address:
*	*	*

Billing Information
Company Name :		Attention :
Street Address :		Town :
State :		ZipCode :

Disconnection Information:
Location of Telephone Line:
Building:	Room:
________________________ Other Albert Brown Building-25 Allen Administration Building-56 Benedict Hall-28 Boiler House (EH)-97 Boiler House (LS)-98 Bramley Hall-40 Briggs Hall-41 Brockway Dining Hall-37 Burlingame House-18 Chapman Service Center-35 Commissary Building-36 Cooper Hall-51 Dailey Hall-26 Dobson Hall-29 Drake Memorial Library-55 Educational Opportunity Center-99 Edwards Hall-13 Gordon Hall-31 Harmon Hall-30 Harrison Dining Hall-38 Hartwell Hall-1 Hazen Hall-11 Holmes Hall-14 Lathrop Hall-7 Lennon Hall-21 MacVicar Hall-20 McFarlane Hall-27 McLean Hall-19 MetroCenter-124 Morgan Hall-1-8A Morgan Hall-2-8B Morgan Hall-3-8C Mortimer Hall-42 Neff Hall-8 Perry Hall-39 Rakov Center-23 Seymour College Union-22 Smith Hall-12 Thompson Hall-9 Tower Fine Arts Center-32 Tuttle North-53 Tuttle South-52 Welcome Center-106 Community Center–130 Townhome Building 1–131 Townhome Building 2–132 Townhome Building 3–133 Townhome Building 4–134 Townhome Building 5–135 Townhome Building 6–136 Townhome Building 7–137 Townhome Building 8–138 *	*
Telephone number to be disconnected (4 digits):		*
If an ACD, please provide the ACD agent ID #:		*
Does this line have voicemail?		_____ Yes No * (Please Select Option)
If yes, does the voice mailbox need to be disconnected?		yes no

Additional Information and Comments:

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* Required Information: This form can not be submitted without the required information

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