Disconnect Service

BSUConnect Disconnect Form

Items with an * indicate a required field.

First Name *
Last Name *
Phone *
Campus Address *
E-mail address *
Please Select Service To Disconnect (choose all that apply) *	BSU Prepaid Long Distance Campus Messenger BSU Caller ID

In the event that a refund is owed, please enter the address you would like it to be sent to.
Street
Apt/Suite #
City
State
Zip
Additional Comments