Cancellation Letter (Subscription or Membership) - Form

________
________
Telephone: ________
Email: ________

________

________
Attention: ________
________

Sent by: ________

Dear Sir or Madam:

Re:  Notice of Cancellation of Membership — Account No. ________

§ 1.  Purpose of Notice. I, ________, am writing to provide formal written notice that I am cancelling my membership and the related agreement (the “Agreement”) entered into with ________ (the “Organization”) on or about ________.

§ 2.  Membership Particulars. The membership to which this notice relates is identified as follows:

1. Member name: ________;
2. Account / membership number: ________;
3. Membership type or plan: ________; and
4. Membership location or branch (if applicable): ________.

§ 3.  Effective Date of Cancellation. I hereby cancel the Agreement effective ________, or, where the Agreement or applicable law requires a longer notice period, on the earliest date thereafter permitted in accordance with the cancellation and notice provisions of the Agreement.

§ 4.  Statutory Cancellation Rights. To the extent applicable, this notice is given pursuant to, and I expressly reserve and rely upon, all rights available to me under the applicable consumer protection legislation of the Province of ________, including any statutory right to cancel a future performance, time-share, personal development, fitness, or continuing-services contract, any applicable cooling-off period, and any right to cancel where required disclosure was not provided. Nothing in this notice shall be construed as a waiver of any such right.

§ 5.  Cessation of Charges and Payment Authorizations. As of the effective date set out in § 3, I withdraw and revoke any authorization previously given to the Organization, whether by pre-authorized debit, credit card, or otherwise, to charge or debit any account of mine, and I direct that no further fees, dues, renewals, or other amounts be charged to me. Particulars of the payment method to be discontinued: ________.

§ 6.  Refund of Prepaid or Overpaid Amounts. If any amount has been prepaid or is otherwise owing to me as a refund upon cancellation, I request that it be calculated in accordance with the Agreement and applicable law and remitted to me at the address noted above, or by ________, within ________ days of the effective date of cancellation.

§ 7.  Return of Property. I confirm that I have returned, or will return upon your instruction, any access cards, keys, equipment, or other property of the Organization in my possession: ________.

§ 8.  Request for Written Confirmation. Kindly provide me with written confirmation, within ________ days of receipt of this notice, that: (a) my membership has been cancelled; (b) the Agreement is terminated; (c) all recurring charges and payment authorizations have been stopped; and (d) my account is settled in full or, if applicable, the amount of any refund payable to me.

§ 9.  Enclosures. Enclosed herewith are the following (if any): ________.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam.

Yours truly,

________

Signature: ________
Date: ________