This form information will be used to create a recurring quarterly 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. Hosting for  mysitename.com
Recurring Quarterly Amount  eg. 100.00	Canadian Funds
Start date for billing	Next Business Day
First Quarter Payment	Canadian Funds

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