Cancellation Form

*Required Fields

* Acccount Holder Name
* Email Address
* Domain Name
* Main Username
* Main Password
Is your account:	Unix-based Windows-based Reseller Dedicated
1. Are you transferring your web hosting services to another hosting company? Yes No 2. If you answered ”yes” to question 1 which hosting company are you switching to? 3. What is more appealing about their service? 4. Why did you choose to leave OurInternet.us? 5. May a OurInternet.us customer service representative contact you? Yes No 6. If you answered "yes" to question 5, please enter a phone number where we can contact you.
Please type your full name AND email address in the box below. By doing so and submitting this form to Our Internet you are agreeing to the terms, conditions and acceptable use policy previously set forth by Our Internet. This is a binding document. * I AGREE to all items in the TOS / AUP: This document will not be "signed" in the sense of a traditional paper document. To verify the contents of this form, the signatory must enter any combination of alpha/numeric characters that has been specifically adopted to serve the function of the signature, preceded and followed by the forward slash (/) symbol. Acceptable "signatures" could include: /john doe/; /jd/; and /123-4567/. For example: if your name is John Miller, you could type /John Miller/ below. * Signature: * Date:
Reason for Cancellation: