simple host

Account Details
Your Name: *
Email: *
Phone Number: *
Domain Name: *
Username: *
Password: *

Are you transferring to another host?	Yes No
If yes, which service provider have you chosen?	(web site URL)

What is the reason for your cancellation? (check all that apply): *

Site No Longer Needed Pricing Too High Missing Features (explain below) Economic Reasons - Cut Costs	Dissatisfied - Server Problems/Performance Dissatisfied - Technical Support Dissatisfied - Billing Support Dissatisfied - Network Performance
If you are cancelling for a reason not mentioned above, please explain:

Suggestion/Feedback
What would it take to earn your business in the future? How can we improve?

We are not authorized to modify your domain name or set up a new hosting account with any other provider. If you are transferring your domain to another host, you are responsible for setting up an account with the new provider and having the name server information updated. If you obtained your domain from us as part of a promotion an early termination fee will apply and will automatically be charged to the credit card on file. If you are due a refund, please request it separately through the billing desk and then allow up to 30 days from the date you submit this form for the refund to be issued.

Please Note: You may receive a final charge after your service has terminated for fees associated with bandwidth used over your allocated amount or for invoices which have been unpaid.

Thank you for your business.

Payment & Cancellation Policy

You are obligated to pay for your account even if you do not use it. Because we have provided you with usernames, passwords, DNS entries, and an IP address, you have the ability to use your account. The fact that you do not do so is not relevant - you are still obligated to pay for the account. Even an unused account uses valuable system resources that could be used for other customers. If you have a past-due balance on your account at the time the account is requested to be closed (either by your request or due to non-payment), the remaining balance must be paid within 30 days of when the account is closed. If we do not receive payment on the remaining balance in that time, we will begin efforts to collect any fees owed. We apply a $200.00 collection fee to cover our costs in attempting to collect your debt. If our internal collection efforts fail, we reserve the right to turn the account over to a 3rd-party (either collections agency or attorney) for further action.

NOTICE: By applying for service you have entered into a financial agreement. We reserve the right to report your unpaid balance to credit reporting agencies. Unpaid invoices may effect your credit rating.

If client disputes justified charges by provider on his credit card as a "chargeback", provider has the right to charge an administration fee in addition to the regular suspension charge of $25 and immediately discontinue service.

We do not offer refunds for services after the initial thirty (30) days of service. Domain name registrations are non-refundable. Early termination feeds may apply.