Customer Cancellation Form

If you are cancelling your services because of poor connection speeds, please take a moment to review our new Adopt a Modem program.  It may solve your connection speed issues.  Click HERE for info.

After you have submitted the form, you will receive a cancellation authorization tracking number (CAT for short). This number better allows us to keep track of your specific request for termination of services. Please print the following confirmation form and retain the information, with your CAT number for future reference.  If you have any questions please contact our customer service staff at 1-888-758-8750.
Name:
E-Mail:
Address:
City: State: Zip:
Contact:
Phone (Home):

Phone (Work):
Account Information
Please select the account which you would like to cancel:
Dial-Up Access JVLNET Username:  
E-Mail Only Account  JVLNET Username:  
Domain Domain Name:  
Other Please Specify:  
Reason for cancellation
Please let us know your reason for canceling the service:
Moving out of the JVLNET access area
    JVLNET covers the local areas of: Baraboo, Beloit, Briggsville, Deforest, Edgerton, Evansville, Footville, Hillpoint, Janesville, Lake Delton, La Valle, Lime Ridge, Loganville, Lyndon Station, Madison, Marshall, Mauston, Middleton, Milton, New Lisbon, North Freedom, Oregon, Pardeville, Portage, Reedsburg, Rock Springs, Sun Prairie, South Beloit, Stoughton, Wisconsin Dells and Beloit, Rockford, Roscoe and Rockton, IL
As always - check with your local phone company to confirm local calls.
    Where are you moving to?  
   

City & State:
    Would you like to keep your Email Address for only $60/year? Yes     No
Use any email program or JVLNET's WebMail
    Would you like to have your @jvlnet.com email forwarded for only $20/year? Yes     No
Your email will be forwarded to your new email address.
No longer will be using the Internet
    No longer have computer, need faster computer, can't afford, personal problems
    Reason: 
    If Other, Please specify:
Switching to Cable Modem service
    Would you like to keep your Email Address for only $60/year? Yes     No
Use any email program or JVLNET's WebMail
    Would you like to have your @jvlnet.com email forwarded for only $20/year? Yes     No
Your email will be forwarded to your new email address.
    Would you like our "backup" access plan for only $10/month?    Yes     No
Switching to DSL Service
    Would you like to keep your Email Address for only $60/year? Yes     No
Use any email program or JVLNET's WebMail
    Would you like to have your @jvlnet.com email forwarded for only $20/year? Yes     No
Your email will be forwarded to your new email address.
    Would you like our "backup" access plan for only $10/month?    Yes     No
Switching to another Internet Service Provider
    Reason: 
    If Other, Please specify:
    What provider will you be switching to?
    New Email Address:
    Would you like to keep your Email Address for only $60/year? Yes     No
Use any email program or JVLNET's WebMail
    Would you like to have your @jvlnet.com email forwarded for only $20/year? Yes     No
Your email will be forwarded to your new email address.
Unable to connect to JVLNET
    What was the problem? 
    Who helped you?
    Your new E-mail Address:
Unresolved technical problems
What was the problem?
    Who helped you?
    Your new E-mail Address:
Canceling an additional account only, keeping main account.
Date to cancel account
Please select the effective date to discontinue services for the account specified above. Per the Terms and Conditions agreement of your initial sign-up with JVLNET, a 30-day advanced notice is required prior to the cancellation of services.
Effective Date: /  / 
Driver's License Number:
To protect and secure your account.  We will confirm your cancellation prior to removing your account.
Driver's License Number:
Please tell us who is completing this cancellation request:
Your Name: 
Your Email:
Your Phone #:
Special Instructions:

Please contact Customer Service if you have any questions regarding this transaction.

Press Submit and send your information to JVLNET