Cancel A PrairieWeb Account

You may use this form to cancel your existing prairieweb user account. All cancels must be received prior to the first day of the month you would like the account canceled in. For example if you don't want to pay for February we need to hear from you before the first of February. If a cancel request is received after the first day of the month the user requests to cancel in, the account will be canceled at the end of that month.

If you cancel in the middle or beginning of the month your account will be active until the last day of the current month.

Please fill out the form below to cancel your account
* represent required information.

User Info:
*Name:
*Address:

*City:
*State:
*Zip

Account Info:
*Username:	This is the first part of your E-mail address in front of the @ sign.
*Password:
	The Username and Password entered here must be the primary account, not a second E-mail account. They must also match the above user info.

Current Payment Method:
*Select One:	Monthly ACH, 3 Month, 6 Month, 1 Year

Cancel Date: Please enter the date you would like the service discontinued below. If you enter a date in the middle of the month your service will be active till the last day of the month you entered.
*Date:	//

Reason for Canceling:
Please enter a reason for discontinuing your service with us in the space provided below:


Confirmation: Check Here if you would like to receive a E-mail confirmation of this request, and enter the address that you would like the request to be sent to:
	Address: