We are sorry to hear about your cancellation request. If there is a problem, please allow us the opportunity to correct the situation before you decide to cancel your account. If you still wish to cancel your services, please fill out the form below, print it, sign it and then fax it to NetworkRichmond.com @ (804) 672-6086.

This information is for NetworkRichmond.com's use only and will not be shared.

* required fields

Cancellation of ISP Account

* First Name: * Last Name: * Billing Address :
* City/County:	* State:	* Zip Code:
* Phone Number:	Fax Number:
* E-Mail Address:
* User ID (name you use to sign onto the internet)
Reason for Cancellation:
Please sign and date this form before faxing. Signature:__________________________		Date:_______ ______ ,______

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