Model Cancellation Form

TO: support@mileiq.com
RE: Cancel my MileIQ subscription

Hello MileIQ Support,

I hereby give notice that I withdraw from my contract for the supply of my subscription to the MileIQ service.

Today's Date: [Enter date]
Name: [Please fill out your name]
Email: [Please fill out your MileIQ email]
Address: [Please fill out your billing address]
Subscription Start Date: [Enter date]

Thanks,
[Please Sign]