Managed IP PBX Cancellation Request - The Computer Mechanic

Organisation Name*
Name*
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ABN/ACN*
Email*
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Consent*
I agree to the privacy policy.
I authorise The Computer Mechanic to cancel the requested service(s). I understand that at least 30 days written notice is required, per the Terms and Conditions, prior to the actual cancellation of the service(s); this form serves as that notice. I agree for my account to be charged the balance of my account including unbilled charges for any remaining term and any applicable cancellation fees, and agree that this cancellation request is not final until I have successfully paid the charges for the final bill. I acknowledge that I will not be refunded any remaining balance of my account except as specified in the Terms and Conditions.
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