[Your Name / Business Name]
[Address]
[City, State, ZIP]
[Phone] | [Email]
Date: [Date]
To: [Service Provider Name]
[Provider Address]
[City, State, ZIP]
Subject: Service Cancellation Notice – [Service Name] (Account/Contract: [Account # / Contract #])
1. Notice of Cancellation
This letter serves as formal notice that [Your Name / Business Name] is canceling [Service Name] associated with Account/Contract [Account # / Contract #].
2. Effective Date
The cancellation will be effective on [Effective Cancellation Date]. If your agreement requires a notice period, this letter is intended to satisfy that requirement.
3. Billing and Final Invoice
3.1 Final Billing. Please issue any final invoice (if applicable) to: [Billing email/address].
3.2 Proration (Optional). ☐ Prorate charges through the effective date ☐ Bill through the end of the current term per contract.
3.3 Refund (Optional). If any refund is owed, please issue it to the original payment method or to: [Method].
4. Access Termination and Data (Optional)
4.1 Access Removal. Please terminate access for the following users/accounts on the effective date: [List].
4.2 Data Export (Optional). We request an export of our data by: [Date], in [Format], delivered via: [Method].
4.3 Data Deletion (Optional). After confirming data export, please delete our data in accordance with your retention policy and applicable law.
5. Equipment Return (Optional)
5.1 Items to Return. The following items will be returned (if applicable): [Equipment list].
5.2 Return Method. Items will be returned by: ☐ Mail ☐ Courier ☐ In person.
5.3 Return Address. [Return address].
5.4 Return Deadline. Items will be returned by: [Date].
6. Confirmation Requested
Please confirm in writing that the service has been canceled effective [Effective Cancellation Date] and that no further charges will be applied after that date.
Sincerely,
[Your Name]
[Title]
[Your Business Name]
Signatures
[Your Name]
Title: [Title]
Date: [Date]
Signature: ___________________________