Cancellation of Membership, Subscription, to Credit Card/Bank

Credit Card or Bank Account Number:
Name on Account
Name on Supplier Agreement:
Agreement Number, if any:


Dear Sir or Madam:

Please note the enclosed letter of cancellation of services to the supplier in my letter.
Please cancel the automatic charge to my credit card or debit to my bank account effective immediately. Please check this carefully and send me confirmation of your actions so we both know it has been completed.

We appreciate your continued good service on our account and know you will act as promptly as you can, as you have in the past.

Best regards,


Enc. Cancellation Letter to Supplier

cc Supplier