This form information will be used to create a recurring monthly billing charge to your credit card for Comfo services.
Note: Recurring payments can be discontinued at any time by you or Comfo Canada.

Description  eg. Monthly Hosting for  mysitename.com
Recurring Monthly Amount  eg. 100.00	Canadian Funds
Start date for billing	Next Business Day
First Months Payment	Canadian Funds

Customer Information   * required fields
Name	*
Address	*
City	State / Prov.
Postal / Zip Code	*
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Phone	*
Fax
E-mail	*
Press Submit to continue with credit card information.