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Contract cancellation
Subscription :
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iPHA/IG Membership
The type of contract that you would like to cancel
Full Name :
Your Name
Cancellation date :
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The date at which you would like your Subscription to end. Leave blank for the next possible date
Courriel :
Your Email address
Nom de l'organisation :
If you would like to cancel the contract for an organisation, and you represent multiple, it is necessary that you specify the Organisation that you want to cancel the Contract for
Extraordinary Termination :
Attention: This requires proof. Please only select this, if there is a valid Reason for anextraordinary termination (termination with immediate effect). (e.g. moving to a country where the service is no longer avaliable) Please also describe the reason of cancellation and contact the Customer Service for verification.
Extraordinary Termination Reason :
Please do not include confidential personal Information (e.g. data about ethnic origin, political Opinion, religious or philisophical attitudes, membership in unions, genetical or biometrical information that you can be identified by, data about health or sexual orientation).