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Online Service Cancellation (billed after cancelling)

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Defendant:
(who caused the harm?)

Online Service (billed after cancelling)

*Describe your complaint:
(briefly describe the damages you have suffered)

What company did you deal with?

Which product/service did you purchase or subscribe to?

When did you attempt to cancel?

Did you encounter difficulty cancelling? If so, describe:

After you canceled, did the company continue to bill your credit card or make withdrawals from your bank accounts? If so, when and in what amounts?:

*First name:

*Last name:

*Email address:

*Confirm email address:

*Phone number(s):

*Zip/Postal Code:

Best time & way to contact you:

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