Form

First name*

Last name*

Company name

XLN Account Number*

Email*

Phone number

Billing Address & Postcode*

Landline number to cease

Please tick to confirm cessation of landline:

Confirm Cease Landline

Broadband to Cease?*

Yes

Reason to Cease Landline / Broadband*

Price Too expensive

Closing Business / Moving Premises

Service no longer in use (i.e. Fax Line)

Poor Service Experience / Complaint

Date to Cease Services*

Please note: All cease requests require 30 days notice, regardless of contract status. Please do not enter a cease date less than 30 days from today.

Day/Month/Year

Any Additional Information:

**Disclaimer** After submitting this form, you are giving XLN permission to cease the services mentioned in full. This means loss of the number and all services on the line being ceased, including any alarm systems and broadband.