Disconnect Request

In order to proceed with the disconnection, CQG requires the following information.

Disconnects will be processed within 24 hours. Requests submitted on Fridays after 4:00pm CST will not be processed until the following Monday.

First Name

Last Name

System number to be disconnected

Reason

I acknowledge that by submitting this form I consent for CQG to use and process the data contained herein or otherwise provided to CQG, pursuant to the CQG Privacy Notice.

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