Service Cancellation Form

I wish to cancel my Net24 hosting service / account
My Net24 Account ID is:
(Located on your latest Net24 statement)
*
The domain name for this service cancellation is:
*
* Select the type of hosting to cancel:
Email Hosting
Web Hosting
MS-SQL Hosting
Server Co-location
Online Backup (OBS)
Virtual Private Server (VPS)
Other (e.g iSMS, DPS)
Specify
* I would like to cancel this service:
At the end of the current billed period
Effective Immediately
(Note: No part credit will be issued)
Organisation / Contact Details:
Organisation / Account Name:
*
Contact Person:
*
Position:
*
Postal Address:
*
Country:
*
Email Address:
*
Phone Number:
*
Fax Number:
The reason I am cancelling this service is because:
* I certify that I am authorised to make this request on behalf of the above named organisation. As a security measure, your IP Address of 38.103.63.59 will be logged with this request.