WIRELESS CANCELLATION FORM

 

This form is for Wireless customers only, if you are requesting the termination of Dialup, DSL, or any other type of account, please use the appropriate form here . Wireless accounts require a 30 day notice before the account is cancelled.

For your security, the information below is required. You may print and mail the form if you prefer. If the information below is not accurate, or does not match our records, your account will not be closed and we will assume the authorized account holder did not submit this request.
*denotes required field

*First Name:
*Last Name:
*Street Address
*City, State, Zip
*Phone:
*Username: @relia.net
*Password:
*Email Address:
Please use a valid email address and not the one you are canceling, otherwise you will not receive the confirmation email. i.e. don't use your relia.net email address if that is what you are canceling.
*Cancellation Date:

(all wireless accounts require a 30 day cancellation notice, your effective cancellation date will be 30 days from the day this request is submitted)
*Would you like the account closed: Permanently
Temporarily, until
**Did you return your equipment?
(Antenna (Radio), router, power supply with POE injector)

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No, I purchased it, Invoice date of
*The reason for canceling:

Moving locations
Service problems
Price
Switching to a different Provider
Other ...please let us know below
 other:
We appreciate your feedback! Please let us know if there was anyway that we could have served you better and if there is anyway to keep you as a customer. May we have the opportunity to match prices, if you have found something cheaper?. Feel free to include any positive and/or negative feedback so that we can improve our services.

 
**If you have leased or rented equipment, you must return it within 10 days of the effective date indicated above, or agree to be charged accordingly.