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Termination of Service Request Form

3. 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