Service Cancellation Form

Domain Name on Account:
(if applicable)
E-mail Address: (email address on your account)
Phone Number: (10 digits, numbers only)
Date to Cancel:
Refund Requested: Yes No
Cancel all services: Yes No
Last 4 digits of credit card number:
Please specify which service(s) you would like to cancel.
Please tell us the reason you want to cancel. This will not affect your cancellation process, we just want to know why you are canceling so we can improve our service and support.
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I agree to the refund policies as stated on this website.