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[Your address]

[Provider’s address]


Reference: [Cancellation]

I am sending you this written notice to request the cancellation of my [free 30 day trial period] effective from [insert cancellation date].

I would appreciate if you would send me written confirmation that the cancellation has been put into effect and that no monthly fee will be taken from my account.

Thank you for your prompt attention to this matter.

Yours faithfully,

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