Official letters
Cancellation request template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Cancellation Request
Your Name
Your Address
Your Email or Phone
Date: Letter Date
Sent by: Delivery Method, such as Certified Mail, Email or Online Form, and Confirmation Number
To: Company Name
Company Address
Re: Cancellation of Service, Subscription, Membership or Contract, account number Account Number
Dear Sir or Madam:
Please cancel my Service, Subscription, Membership or Contract effective Requested Cancellation Date. This notice is given under Contract Section or Cancellation Policy, or State or Federal Law, such as the FTC Cooling-Off Rule, which allows cancellation Cancellation Terms.
Please Confirm
• that you will make no further charges to my Payment Method, Last Four Digits after the cancellation date;
• the refund owed to me, if any, of $Refund Amount for Reason for Refund, such as Prepaid Unused Period, to be paid by Refund Method within Refund Days days;
• the arrangements for returning any equipment, which is: Equipment to Return, or None.
Please send written confirmation of the cancellation to the address or email above.
I do not authorize any renewal, upgrade or new charge after this date. If a charge appears after the cancellation date, I will dispute it with my card issuer or bank.
Sincerely,
Your Signature
Your Printed Name