Name of company or service provider
Name of the department
Company city and zip code
Re: Cancellation of [name contract or subscription], number ...............
I am sending you this written notice to request cancellation of my [name contract of
subscription] effective [date of cancellation]. I would appreciate you sending me written
confirmation within 30 days that the cancellation has been put into effect. Please refund the
unused portion of my payments, and cease charging my bank account for payments.
Thank you for your attention to this matter. Awaiting your reply.
Your city and Zip code