Infinity Host - Secure Cancellation Form

Please use the following form for all cancellations - cancellations can take up to 5 business days to process. * This page is secure *
Your Name		Your email address
Domain Name to Cancel		Reason for canceling
Domain's username		Other/Comments
Domain's password
Account Package
Billing Cycle
If you are moving your site to another hosting company, what host are you moving to?
Your Daytime Phone Number
Requested Date to Cancel	,