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| Cancellation Form |
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| * Indicates a required
field |
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| Your Name * |
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| Address 1 * |
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| Address 2 |
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| City * |
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| State * |
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| Zip * |
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| Email * |
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| Username * |
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| Please choose type
of service(s) to close: |
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Entire Account
Email Address - Address:
Hosted Domain Only - Name:
Domain Registration - Name:
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| Date of closure * |
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| Reason for closing: |
Employer pays for service
Don't use the Internet much
Changing Hosts - Specify:
Poor service
Pricing
Tech support
Other - Specify:
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| Please provide any additional comments
you would like to make regarding your service experience with AccuPages: |
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| As a courtesy, we will
forward your email for 30 days. This includes only new mail that
comes in. Existing mail cannot be forwarded. |
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Do you want your email forwarded?
Yes
No |
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Email to forward to:
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I certify that I am authorized to close this account. AccuPages is not
responsible for unauthorized account closures if the verification
information supplied by “customer” who submits this
form is accurate. *
Your Name: *
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