Please enable JavaScript in your browser to complete this form. - Step 1 of 3Account owner name *FirstLastEmail address *Phone number *Equipment acknowledgement *I understand Nexstream will schedule a convenient day and time to remove Nexstream equipment from my property* Equipment includes router/Nexstream 360 Pod, fiber ONT, and/or wireless radio.NextWhat Internet service do you have? *Choose oneLTE ReachGig+ FiberWidebandI don't knowWhen do you need your service cancelled? *As soon as possibleOn a specific dateEnter your requested last day of service *Please tell us your reason for cancelling *I'm movingI'm unhappy with my serviceI'm changing Internet providersOther (please describe below)Other reason for service cancellation *PreviousNextWill another tenant occupy your space? *YesNoI don't knowAre you able to provide contact information for the new tenant? *YesNoNew tenant name *FirstLastNew tenant phone number *Has a Nexstream technician attempted to fix your connection? *YesNoWhich best describes the issue you are experiencing? *Slow Internet speedNo InternetIntermittent or unreliable connectivityOther (please describe below)Please describe other issue you are experiencing: *Which best describes your experience with the technician? *Unable to solve my problemThe problem is taking too long to resolveI'm not satisfied with the service I receivedOther (please describe below)Please describe other experience with your technician: *We're sorry to see you go. Please let us know who you are switching to. *Which best describes the reason(s) for choosing your new provider? (Choose all that apply) *Cheaper serviceFaster speedsBetter customer serviceOther (please describe below)Please describe other reason for choosing new provider: *Submit
