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Cancellation Letter - Template, Sample Form to Complete

✓ Valid in United States

Create your Cancellation Letter - Template, Sample Form to Complete for use in United States. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share.

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Cancellation Letter - Template, Sample Form to Complete
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RE: Cancellation of Membership, Membership Account #________

To Whom it May Concern:

I am sending you this written notice to notify you that I am requesting cancellation of my Membership with ________. I have decided to cancel my Membership because of the following reason(s):

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My Membership account number is #________. I would like this cancellation to go into effect on ________. Please send me written confirmation of my Membership cancellation within 30 days of receipt of this letter.

I have enclosed the cancellation fee with this letter.

Please refund the remaining balance on my Membership in the amount of $________ by Check made out to ________.

If you have any questions or need to contact me to process this cancellation, I can be reached by phone at ________. You can mail me at:

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Regards,

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