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Cancellation
of Service Form
5 day cancellation notice required
or you will be responsible for your next billing date
All fields
required
Real Name On File
__________________________
Account Type
_____________________________
E-Mail On File
_____________________________
Billing Login Password (verification)
______________
IP
Address or Domain Name
___________________
When To Cancel Service
______________________
Do
You Agree All Data Will Be Deleted,
On Service Cancellation Date Picked From Above
Check
one Yes ___ No ___
Additional Comments:
___________________________________________________________
___________________________________________________________
___________________________________________________________
NOTE:
Emailing this form is a
legal contract of your willingness to terminate
service with A1wh.com, it in no way relieves you from
any liabilities
for outstanding debts owed (if any) to A1wh.com!
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