NOTICE OF CANCELLATION

To: 	Customer Service 	Date:______________
Company: 	____________________________________	

Address:	____________________________________

		____________________________________

Fax:		____________________________________

Phone: 	____________________________________

Re:  		NOTICE OF CANCELLATION

From:		_____________________________________

Address:	_____________________________________

		_____________________________________

Phone #:	_____________________________________

To Whom It May Concern:

Please accept this notice as my request to cancel my account with ________________ effective immediately.

My user name is ________________________________________.

The last 4 digits of the credit card my account is billed to are ___________________.

Please send me written confirmation, via my address above, that my account has been cancelled.  Please do not hesitate to contact me with any questions.

Thank you,

__________________________
signed