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Service Cancellation Form
Company name under which we bill you for our services?
Your Phone Number
Your Phone Number
Web site under which we bill you for our services. Example http://domain.com
Date to Cancel our services - please note our contract overrides this date if you put in a date earlier than the contract allows.
Reason for Cancellation
Please let us know why you are cancelling
I understand that my files will be completely deleted on the requested cancellation date and that if I have any additional packages within this account they will also be deleted. I also understand that if I pre-paid 12 months for my account, and have not completed a 12 month term, I will be charged at the regular monthly rates for the service I have received, and refunded the difference minus my current billing month. I understand that I am required to give 30 days advance notice for cancellation; and if the cancellation date I entered is less than 30 days from today's date, I will be responsible for paying through the entire 30 days. If my account has been active 15 days or less, I am eligible for a full 100% refund. To receive this refund I must specifically request it within my above comments. If I have other accounts with Dynamic Net, Inc. my refund will be applied as a credit toward my other account(s). Additionally, if I currently have a balance owed to Dynamic Net, Inc., that is not covered via my refund, I understand that I am still responsible for submitting a payment for the full amount owed.
Fine Print Understanding
I understand the above fine print
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