Cancellation Request Please fill out the form below to submit your cancellation request We are sorry to see you go Fill out the form below to submit your cancellation request Cancellation Request First Name * Last Name * Company Name * Phone * Email * Please describe all services you are wanting to cancel * I understand that I am required to cancel my services by 11:59pm MST on the 15th day of the month to avoid a draft on the first day of the following month. I understand this form is required, as all cancellations must be done in writing. Any cancellation received after the 15th of the month will not take effect the following month. For example, if you cancel on May 16th, your June payment will be drafted, and your billing and services will end on June 30th. By completing this form, I am requesting to cancel the services listed above with Lemon Head Design. I understand I will be billed regular monthly dues for the next month if the proper cancellation requirements have not been met. Please keep your e-mail confirmation for your records. This will be sent to you following completion of this form. Thank you! Signature Clear Submit If you are human, leave this field blank.
