Cancel Form - Client Facing Form

We at Bipper Media are so sorry to see you go. We would love the opportunity to talk to you about your decision to cancel services.

Would like to talk about options with one of our team?*

YesNo, I'm ready to cancel

Date You would like cancelation to go into effect?

Your Name*

First NameLast Name

Enter The Business Name*

Please List Services You Would Like To Cancel:

Questions to consider: Is this a full or partial cancelation? If partial, then what components are being canceled and what are continuing?

IMPORTANT: If you are cancelling website hosting your website will no longer be live online. Please indicate if you are interested in our low cost hosting-only service that will allow your website to remain live but without Bipper media management, live support or updates to the site.

Is there anything we could have done to make you stay?

Your Feedback is very valuable to us.