Customer Information

Customer Name:*

Utility Account Number (Please include the dash):

Flagstaff Service Address:*

Customer Forwarding Address Information

Address:*

City:*

State:*

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Zip:*

Account Termination Information

-Minimum 24 hours notice required.
-Requests received before 2 PM Arizona time may be processed the next business day.
-Termination dates must be within the next 10 days.
-Termination dates may not be Saturdays, Sundays, or City recognized holidays.

Account Termination Date:*