AC Cancellation Form - Como Student Community Co-op

To cancel your air-conditioner(s) and stop charges, remove your A/C unit from the sleeve and/or window, discard your sticker(s) and submit this form. To not be charged for the month, this form must be submitted by the 5th of the month.

If you choose to resume AC use, please re-register your air conditioner. All air-conditioners and support structures need to be removed by November 1.

Name*
First Last
Email*
Apartment Number*
# of AC units you want to remove the charge for*
Do you need insulation for your AC sleeve?*
- Yes
- No
The insulation is a barrier for the cold air that would otherwise seep into your apartment through the empty sleeve space. If needed, insulation will be delivered to your unit.
Signature*
I confirm that I have stopped use of my air conditioner, have removed it from the sleeve and/or window, and have discarded my AC sticker.
Date*
Date Format: MM slash DD slash YYYY
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