Services Cancellation Form
| ¡@ | |
| Cancel ONLY the following domain Cancel My Entire Account | |
| Domain Name | |
| Your Email | |
| First Name | |
| Last Name | |
| Billing Address | |
| City | |
| State | |
| Zip Code | |
| Phone Number | |
| Reason For Cancellation |
¡@ ¡@ ¡@ |
| Signature | |
| Date | |
Fax the
completed form to (852) 2543 6788
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