Residential Disconnect Service Request
Please complete this form only to disconnect your service.
If you wish to disconnect your GreyStone service AND YOU ARE TRANSFERRING SERVICE to a new residence within GreyStone's service area, please click here.
If you are not currently a GreyStone member and wish to sign up for new service click here.
Please allow 3 business days to process orders.
GreyStone does not connect or disconnect service on Saturdays, Sundays or business holidays.

NOTE: Fields marked * are required. Incomplete applications will not be processed.
*Full Name:
GreyStone Account:
*Social Security Number:
If the person requesting this disconnection is not the member or an authorized user on the account, please upload a Power of Attorney document that gives the requestor permission to make this change.

Upload POA document(s):
*Disconnect on:    
*Service Address:
Current City:
Current State:
Current Zip:
*Forwarding Address:
*Forwarding City:
*Forwarding State:
*Forwarding Zip:
*Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Fax Phone Number:
*Request Submitted By:    (Full Name)
*Submitter's Email Address:
*Daytime Telephone Number:    (M-F between 8 AM & 5 PM)
Best time to call:

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