Vacation Hold Form

Vacation Hold Form

Revised 10/1/24
This form is to be used ONLY for Red Bolt Broadband service. Any changes to an existing CDEC electric account must be made separately on the form designated for such changes.

Note: If Red Bolt service is disconnected for longer than 6 months, you will be charged a $50 reconnect fee, plus tax, upon reconnection. Only one (1) vacation hold is allowed per calendar year.
Customer Name*
Account Number
Service Address*
Phone*
Email Address*
example@example.com
Vacation Start Date*

MonthDayYear
Date
Vacation End Date (if known)

MonthDayYear
Date
Forwarding Mailing Address (in case we need to reach you about your account)
Equipment Information

Router will not be returned during vacation hold.Router returned.
FSAN on returned router return:
S/N on returned Wi-Fi extender:
• By temporarily disconnecting service, Customer understands they are still responsible for any unpaid amounts owed. If while on vacation Customer keeps a Red Bolt managed router or Wi-Fi extender, Customer will be assessed the monthly rental fee for all equipment.
• A $20 cleaning fee, plus tax, per device, will be assessed if equipment needs cleaning. If the equipment is returned unusable, (i.e., returned without power cord or damaged), Customer is responsible for full retail charges of equipment.
$20.00 cleaning fee, plus tax, required?

Yes:No:
Signature*

Clear
Date

MonthDayYear
Date
1821 Clif Lear Ave. / PO Box 1087 / Grants, New Mexico 87020 / redboltbroadband.com / Ph: 505.876.2005 / Fx: 505.287.2234
Should be Empty: