If the account is being closed, you must call the office directly at 1-800-649-6457 where the termination request will be processed. Thank you for you cooperation. Please note that we process refund requests every Wednesday.

All fields marked with an asterik (*) are required:

Account Number	*
Full Name	*
Address	*
City/Town	*
State	*	Zip*
Phone Number	*
Best time to call
E-mail	*
Reason for refund
Refund amount
Is the billing address information on the account correct?		Yes No
Is the account to remain open?	If you choose "no", please contact our office to close your account and request a refund	Yes No
Is the account to remain on automatic delivery?		Yes No