To cancel your web hosting account print out this form and fill it in with your details and post it to the address shown below.
Note:This must be sent by Australia Post and cannot be faxed or emailed.
Any received by fax or email will be invalid and will not be accepted as cancellation of your account.
As per our terms and conditions section 9.8 If you cancel your account or move to another provider all of your account details including your login username and password, email accounts and any information will be deleted from our system during the monthly billing/accounting cycle canellation period. We are not obliged to inform you that all information (including email accounts) will be deleted from our system after receiving your cancellation form.  
Attention:Accounts Administrator
Intertech Country
2 Beech Street
Mount Gambier, SA 5290

re: Cancellation of Web Hosting Account
(please note: you must be the primary account holder in order to canel your account)

I, ........................................................... ................................ (account holders real name)  
wish to cancel my Web Hosting Account notice must be given as specified in our Terms and Conditions.
The cancellation notice will only become active once we have received the written cancellation form in the post.
http://www.icisp.net.au/conditions.html    see section 14 for more details. (Please Print information)

My hosted website address is: http://www. ............................................
Delete my website from your web server (I have it hosted elswhere) yes
note:if you have moved to a new provider you must ensure that you have your domain name transferred  otherwise if it is still in our system you will be charged for any domain registration fees that are due.

My email address is: ...................................................................

My Postal address is:......................................................................

City/Town..........................................................

State:............ Postcode:...............  

Drivers Licence No: ............................  Date of Birth: ...............................

Telephone: (0   ) ................................. Mobile: .........................................

Reason for cancelling account: .............................................................

...................................................................................................................

...................................................................................................................

As the primary account holder I understand that there are no refunds for unused portions of services, this includes fees paid in advance for ADSL, Dial-Up and Web Hosting services and that cancellation of my account does not remove my responsibility to pay all fees incurred up to and including the date of cancellation.

 Signed.............................................................      

Print name:.......................................................

dated this day: ................................................. office use: date received:     /      /       :    date account closed:      /      /