Cancellation Form

Please fill out the form below to cancel your electricity service.

Customer Name:

ESI-ID / Account Number:

Service Address:

City:

State:

Zip:

Email:

Phone Number:

Requested Cancellation Date (please allow 1-2 business days for processing):

Forwarding Address:

City:

State:

Zip:

Reason for Cancellation (mark one):

Moving (please provide proof of relocation)

Switching providers

Other...

Proof of Relocation

Attach proof of relocation for early termination fee waiver

Please check both boxes below:

I understand I am terminating the service with Energy To Go and that I remain liable for all charges, including any potential Early Termination Fee as specified in my Agreement with Energy To Go. I also understand that power at this location will be DISCONNECTED on or after the requested cancellation date above.

I confirm I am at least 18 years of age and legally authorized to request cancellation of service for the service address listed above.