disconnection « Conxxion

Disconnection Request Form

This form can be used to request the cancellation of ACN Phone and Broadband services, following the recent announcement of a service shutdown by 24 August 2020.
Account ID*
First Name (of the Account holder)*
Last Name (of the Account holder)*
Date of Birth (of the Account Holder)*
Date Format: DD slash MM slash YYYY
Email (of the Account Holder)*
Service Address Line 1 (This is the address of the service you wish to cancel)*
Service Address Line 2 (optional)
Suburb*
State*
Post Code*
Please enter the Service Number of the service you wish to cancel?*
For phone services, this will be the phone number. For Broadband services, please enter the DSL or NBN service identifier that appears on your invoice. You can enter multiple services in this input, separated by commas.
Disconnection Date*
Date Format: DD slash MM slash YYYY

Please select a Disconnection Date.
Contact Phone Number (in case we need to contact you)*