Cancellation Page

Please provide us with as much of the following information as you can.  Please enter all information exactly as it appears on the front of your manila envelope.  If your package comes in a green container, please notify your regional library and they will remove you from their database.

Mail Code Below Issue #:

First Name:

Last Name:

Your Full Legal Name:

Street Address:

Address Line 2:

City:

State:

Zip Code:

E-mail Address:

Why are you cancelling?
         
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