Streetwise DWS Cancellation Form Fillable 1A

User Manual: Streetwise DWS Cancellation Form 1A

Open the PDF directly: View PDF .
Page Count: 1

...Protecting What Matters Most.

Cutting Edge Products, Inc

Streetwise Security Products

Home

of

235-F Forlines Rd

Phone: (252) 830-5577

sales@cuttingedgeproducts.net

Winterville, NC 28590

Fax: (252) 830-5542

www.cuttingedgeproducts.net

Your Name

Date of Cancellation

Domain Name

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

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

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

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 Approval By: ________________________

Refund Issue Date: ________________________ Refund Approval Date: ________________________

SUBMIT