Disconnection Form for Dialup

This form is being used to disconnect dialup service with Your Personal ISP 4 You
or Timber Pines Computer Club (timberpines.net).

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  1. Please provide the following account information:

    Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Internet Provider   (YPISP4U or
                                                     Timber Pines)
    Work Phone
    Home Phone
    E-mail

    2.    By typing your name below, you are requesting that we disconnect
            your Internet Service with either YPISP4U or Timber Pines. Should
            you need to speak with a Representative please call us at 727-862-9828.
            Your request will be handled within 24 Hours of receipt of this form.