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Cancel Account Form

To cancel your account, complete this simple form an push the submit button.  We will confirm your intention with you, to be sure it is not a prank or act of sabotage.  We thank you for your business.  If you are leaving because we have failed you, please let us know the details so we can learn from it.


Domain to be canceled www.

Full Name

(as it appears on Credit card)

Your Username

(must be 8 characters/numbers long)

Your Password

(must be 6-10 characters/numbers long)

eMail Address
Confirm eMail Address
Please cancel this account as of this date  








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