Immediate Cancellation Form

Business Name*

First Name*

Email Address*

What Services Are You Cancelling?*

Who is the Account Manager over your account?*

How Satisfied Are You With Our Communication?*

How Satisfied Are You With Our Chosen Media? (graphic design, images selected, etc. )*

How Satisfied Are Your With Our Copywriting?*

How Satisfied Are You With Your Overall Experience?*

Please Tell Us Your Reason for Cancelling.*

NOTICE: By submitting an immediate cancellation, you agree to pay 50% of your next monthly fee as a cancellation fee. If you are still within your initial contract period of three months, you agree to pay the remainder of your contract term. To avoid these fees, please submit a thirty day notice.

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