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Order Cancellation Request

Please print, complete and return this form to us via fax at: 866 740 0147.


Your Name: ______________________________________________________


Company Name:__________________________________________________


Order Invoice Number:______________________________________________


Fax Number:________________________ Email:________________________


I request that my order be cancelled. I understand that every effort will be made to cancel any unshipped portions of my order. Shipped items cannot be cancelled and must be processed as a return in accordance with your return policy. I acknowledge and agree to the terms for order cancellations.

Approval Signature:________________________________________________




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