Streetwise DWS Cancellation Form Fillable 1A

User Manual: Streetwise DWS Cancellation Form 1A

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Cutting Edge Products, Inc
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Streetwise Security Products

STREETWISE DEALER WEBSITE CANCELLATION FORM
Print or Type

First Name: ________________________________________ Last Name: _____________________________________________
Company Name: ________________________________________________________________________________________________
Domain Name: ________________________________________________________________________________________________
Address: _______________________________________________ Address 2: ________________________________________
City: _____________________________________________ State: ________________ Zip: __________________________
Phone: ________________________________ E-Mail: __________________________________________________________

I, _______________________________, hereby authorize the cancellation of my Streetwise Dealer Website on
Your Name

_________________ and acknowledge that a fee of $100 will be deducted from the total refund for which I qualify. I
Date of Cancellation

understand this fee was included in the purchase price and is non-refundable. I release Cutting Edge Products, Inc. and its
subsidiaries from all responsibilities pertaining to _________________________________. I understand that Cutting Edge
Domain Name

Products, Inc. will issue any refund due within 21 days of receiving this completed form. If I have not received the refunded
amount within 30 days, I acknowledge it is my responsibility to notify Cutting Edge Products, Inc.
Reason for Cancellation:

Preferred Refund Method:

Credit Card

Check

Customer Signature: __________________________________ Date Signed: __________________________________

For Staff Use Only
Refund Method:
Credit Card
Check
Refund Issue Amount: ________________________
Refund Issue Date: ________________________
SUBMIT
...Protecting What Matters Most.

Refund Approval By: ________________________
Refund Approval Date: ________________________

235-F Forlines Rd Winterville, NC 28590
Phone: (252) 830-5577 Fax: (252) 830-5542
sales@cuttingedgeproducts.net www.cuttingedgeproducts.net
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