Cancellation of Service REV. 11/1/02

Please fill out the following information to cancel service
Fax to: 281.240.7377 OR
Mail To: Net Star Telecommunications
505 Julie Rivers Ste 170 Sugar land, TX 77478

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Company

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Authorized Signature of Customer

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Name and Title

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Address

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City, State, & Zip

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Date

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Main Telephone Number

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Email Address

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Web Address

Cancel Service Type: *56 DIAL UP * ISDN * DSL * T1
Other____________ * HOSTING *COLLOCATION

*(IMPORTANT) DATE TO CANCEL SERVICE _____ _____ ____ OR NEXT BILLING CYCLE. PLEASE GIVE 30 DAY NOTICE

What your thoughts were about us:

Busy Signals:	* GOOD * FAIR * POOR * NO COMMENT
Connect Speed:	* GOOD * FAIR * POOR * NO COMMENT
Transfer Speeds:	* GOOD * FAIR * POOR * NO COMMENT
Our Sales Staff:	* GOOD * FAIR * POOR * NO COMMENT
Our Billing Dept.:	* GOOD * FAIR * POOR * NO COMMENT
Our Technical Staff:	* GOOD * FAIR * POOR * NO COMMENT

What are your reasons for leaving?

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Will you be choosing a new ISP? * Yes * No

Losing your email address can be a hassle would you like to discuss keeping your Internet service with us or maintaining your email address account? * YES * No

What comments can you share to improve our service?

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Thank You

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