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Stop Service Form

Name(Required)

First Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

MEC Account Number(Required)

Meter Number(Required)

Seasonal?(Required)

If this is a seasonal disconnection, please note that there is a $100 reconnection fee when service is re-started.

Yes

Forwarding Address(Required)

Please provide a forwarding address in order to receive your final bill and receive future capital credit checks and correspondence.

Street Address Address Line 2 City State ZIP Code

Disconnect Date(Required)

If you need to back-date this request, please contact our office at 406.541.4433. We can only accommodate a request back to the 1st of the current month, with approval of the new occupant.

Please select if you are the tenant or the owner(Required)

Tenant

Owner

Other

New Occupant/Landlord/Realtor Name(Required)

This information ensures the new occupant does not experience a service interruption. We appreciate any information you are able to provide to ensure a seamless process for all parties. Thank you!

First Last

New Occupant/Landlord/Realtor Phone(Required)

New Occupant/Landlord/Realtor Email(Required)