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Termination of Service Request Form

3. City of League City<br> 300 West Walker St.<br> League City, Texas 77573<br> (281) 554-1335

   City of League City
   300 West Walker St.
   League City, Texas 77573
   (281) 554-1335

6. 

8. Terminate Service

10. ***Please note that it could take up to 7 business days from the requested date for the City to terminate services. The City only Terminates Monday through Thursday.

12. Owner of Property/Property Manager

14. Applicant Type *

    1. Primary

    1. Associated Customer

16. Requested Termination Date: *
    Requested Termination Date:

18. Last Name *

19. First Name *

20. Middle Initial

22. Service Address (Street)*

24. Forwarding Address (City, State, Zip)*

26. Phone*

27. Email *

29. Date of Birth*

31. Associated Customer/Spouse/Other

33. Last Name

34. First Name

35. Middle Initial

37. Phone

38. Email

40. Date of Birth

42. Customer Agreement

44. Terms & Conditions *

    1. I understand that the City of League City has 7 business days after the requested date to terminate services.
    2. I understand that the Primary and the Associated Customer are responsible for any and all remaining charges on the account after the termination date.

46. Signature*

47. Date *
    Date

Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field