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Please
enter your account information below : ( * = required fields )
Time Warner
Cable of New England Account Number
First Name
*
Last Name
*
Email Address:
*
(an email
address is required to process your disconnect request online.)
Requested
Disconnect Date (example:
MM/DD/YY):
*
PLEASE
DISCONNECT MY TIME WARNER CABLE SERVICES AT:
Address
*
City/Town
*
State
Zip Code
*
BILLING
ADDRESS (if different from service address):
Address
City/Town
State
Zip Code
TELEPHONE:
Primary Contact Phone Number
*
(starting with area code example: XXX-XXX-XXXX)
Service Address
Phone Number
(starting with area code example: XXX-XXX-XXXX)
Cellular Phone
Number
(starting with area code example: XXX-XXX-XXXX)
Out Of State Phone
Number
(starting with area code example: XXX-XXX-XXXX)
Best Time to Contact
You:
Equipment Acknowledgement:
* - I understand that I am required to return all Time Warner Cable equipment to Time Warner Cable within 15 business days from the date of disconnect as requested above.
Return Equipment by Mail request (available if you are unable to return your equipment to an office location):
Comments:
Electronic Customer Signature:
*
Time Warner Cable New England | 118 Johnson Road | Portland ME 04102 | 1-800-833-2253
www.timewarnercable.com | Contact Customer Service online
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