DISCON application

Power Disconnection Application Form

All the info requested below is required for this request to be processed.

* Indicates required field

The Address for the Permanent Disconnection *

ICP number for the Permanent Disconnection *

Your First and Last Name *

Your Contact Phone Number *

Your Billing / Postal Address *

Your Email Address *

The Reason for the Permanent Disconnection *

Is this Residential or Business *

Expected Date for the Disconnection *

Southern Network Services LtdPO Box 3873Christchurch 8140Phone: 03 341 0125Email: admin@southernnetworkservices.co.nz