EmailMe Form - Request for Disconnection of Electric

Customer Name *
First Last
Address of Service to Disconnect *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone Number *
### - ### - ####
Last Four Digits of Account Holder's Social Security Number *
Forwarding Address to Send Final Bill *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Date of Disconnect *
MM / DD / YYYY
Email Address *
Murray Electric System Account Number *
What services to disconnect?
All
Electric
Cable
Internet
Phone
ALL DIGITAL BOXES, INTERNET MODEMS, AND TELEPHONE MODEMS (including power cords, remotes, etc.) WILL NEED TO BE RETURNED TO THE MES OFFICE OR AN EQUIPMENT CHARGE WILL BE PLACED ON YOUR BILL.