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Personal Information
Name:
Phone:
Why are we asking for this information? So we can contact you if there are any problems discontinuing your plan.
Email:
Why are we asking for this information? So we can contact you if there are any problems discontinuing your plan.
Customer Code
Customer Code located in the windshield of the vehicle, Example:
12345+123456
:
Customer Code located in the windshield of the vehicle
Last 4 Digits of Credit Card Number:
Help Us Improve
Cancellation Reason:
[--Select--]
I’m moving.
I don’t wash my car more than once a month.
It’s too expensive.
I'm unhappy with the quality of service.
Other.
Suggestions/Comments:
I authorize my plan to be discontinued. Your IP Address and other information will be recorded for fraud prevention purposes.
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