CANCELLING SERVICES
 
For Customers > Billing Center > Cancel PatriontNet Service

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This form may be used to request cancellation of PatriotNet services. All requests for cancellation must be received by PatriotNet in writing, or through use of this form - phone calls are not sufficient for this purpose. Please give 30 days advance notice of any service cancellation. Refer to the PatriotNet Cancellation Policy for more details.

Name of person completing this form:

Person or organization whose name is on the account (if different from above):
Account Name (login username, or PatriotNet e-mail address):

Services to Cancel

Dial-up access, e-mail, and shell account
E-mail-only account
Web hosting
Domain hosting
DSL access
Other services to cancel:

Requested Service Termination Date

End of current paid service term
Other date:

Reason for cancellation

Post-Cancellation Contact Information

Please supply current information so we may contact you, especially if any of this information has recently changed.
  • Phone number:
  • Street Address
    City: State: Zip:
  • E-mail address:
Additional comments:

This information will be sent to the PatriotNet staff for processing.