Use this form to send us a declaration about a purchase. We will show you a receipt reference and submission time after the request is accepted.
Cancelling a recurring subscription stops future renewals through the account or billing portal. It does not submit a withdrawal declaration for a purchase. This form records a withdrawal declaration; submitting it does not itself cancel a subscription.
This blank form is an optional alternative to the two-step online declaration. Complete it and send it to the business contact below; you may also use the online declaration or email us directly.