Remove SMC/Web Services

* Reseller:

* Contact Person:

* Email:

* Client Name:

* Remove DNS?
	Yes No

* Domain name(s) - Specify main for site and any others that are redirected to delete.

* Day/Time to remove:

Email accounts to remove:

* Remove SMC access?
	Yes No

* Remove HTDig index site search:
	Yes No

* Remove Shopping Cart/SSL/Unique IP
	Yes No

* Remove Plug-in Registration functionality
	Yes No

* Remove Urchin Stats:
	Yes No

Remove FTP accounts:

Misc. Notes:

Enter Letters For Verification

* Required Fields