Account Cancellation Form


Validation Section
    Username:
 2 to 8 characters, lowercase
Password:
 6 to 16 characters, mixed case

Contact Information
Enter your account information.
    Name:
Company Name:
Email Address:
Postal Address:
 
City:
 State:
Zip/Postal Code:
 Country Code:  (2 letter)
Phone:
 Fax:

Cancel Service
Please specify the reason for cancellation. We will set up forwarding of your email for 30 days if you provide us with the new address.
    Forward Email:
When to Disable
Anniversary Date  Now 
Reason:
Other Reason:

Submit
Please check the above information. Press "SUBMIT" to submit your information for processing. Press "RESET" to clear your information.