Cancellation Form

LMR International, Inc. 
Cancellation Form

I,  , am requesting to cancel future charges for the following software and/or services. I understand that the software and/or services rendered by LMR International, Inc will be suspended on the effective date or at the end of the currently paid period.

The effective date of this cancellation will be .

Please note that if you are under a special price plan, you won't be able to enter back to that special price plan if you decide to come back to us.

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What motive(s) led you to unsubscribe?


Would you recommend our program? 

Would you use our program in the future? 

Do you have any comments or suggestions?

You will receive a copy of this document in your e-mail as proof of cancellation.

We thank you for your current patronage.

8661 NW 24th St Sunrise FL 33322-3301
Phone: (954) 568-7153  Fax (800) 708-0365

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Document name: Cancellation Form
lock iconUnique Document ID: 9d4d4fe30dbc3837d3fce5138520056c689d5f4f
Timestamp Audit
January 27, 2016 8:48 pm EDTCancellation Form Uploaded by Lorenzo Rodriguez - IP