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Letter to Disable Automatic Billing - Template Form

________
________


Date:___________________



________
________



RE: Cancellation of Automatic Billing



To whom it may concern:

This letter is to cancel my automatic billing with your company. My account number with your company is ________.

Each week, the amount of $________ (________) is billed to my account.

This amount is automatically withdrawn. I would like to immediately cancel these automatic withdrawals so please consider this letter official revocation of authorization. Please also note my request to cancel my account with your company.

I expect the last automatic withdrawal to be on ________.



Sincerely,

________

Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.