Telephone Support - Request to Reconnect Service

Please enter your information below. If you would like for Customer Service to contact you, please include your contact information in the comments section.

Your Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Comments:

Reconnect Information

Number to Reconnect:

Date To Reconnect: January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2007 2008

Please check one of the following to indicate the service(s) you wish to have reconnected:
Phone and Cable (reconnect charge is $40.00)
Phone Only (reconnect charge is $20.00)
Cable Only (reconnect charge is $20.00)