Name on Account (required)

Your Email (required)

Phone (required)

Account Number (required)

Company Name

Cancellation Details

I understand that cancelling my account prior to the end of the contract will result in an early cancellation per your agreement.
Yes

"I understand that a $100 fee will be temporarily placed on my account for each router and mesh unit provided. If the equipment is returned within 30 days the fee will be removed. Call 888.782.1454 or email support@e-vergent.com to set up an appointment to drop equipment off or ship it to our office at 2524 76th Street, Franksville, WI 53126."
Yes

Please specify when the cancellation should become effective:
—Please choose an option—At the end of the paid monthImmediatelySpecific Date

If specific date, please list:

What service will you use to fulfill your Internet needs in the future?
—Please choose an option—ComcastSpectrumTDSWireless (WISP)DSLFiberCellular - Hotspot

Please indicate your reason for cancellation:
—Please choose an option—SpeedPriceReliabilityNo longer neededMoving (If moving is selected provide the following fields)New Address? (for billing purposes)Other (option to define)

New Address (For Billing Purposes)

Are you sure your new location is not within our service area?
—Please choose an option—NoYesNo but I dont need to know

Please feel free to share any additional information about your experience with e-vergent: