| St. Croix Electric Cooperative

Stop Service

Date to stop service

Service Address

City/Town

State/Province

ZIP/Postal Code

Account information

Do you have more than one account at this Service Address?

No, I have only one account.

Yes. Please transfer ALL SERVICES out of my name.

Yes, but NOT all services will be transferred out of my name.

Account Number(s) or Description(s) of Service(s) to be transferred out of your name:

First

Last

Primary phone #

Email address

Forwarding address

Forward Address

City/Town

State/Province

ZIP/Postal Code

Reason for stopping service

The property has sold and is tranfersing ownership

I'm a renter moving out

I am the property owner and do not want service

Landlord information

First

Last

Landlord's phone

New Owner Information

First

Last

New Owners phone

Please contact us at our office at (715) 796-7000 to make arrangements

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