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CANCELLATION FORM

Fill Out & Submit

Spanish Cancellation Form

CHECK PROGRAMS BEING CANCELED

Includes:

Total Protection VSC
Total Protection Plus VSC
EV or Hybrid VSC

Technology VSC
High Mileage VSC

Exclusionary CPO VSC

Certified Pre-Owned VSC

AXC 3-6 VSC
TP Commercial Truck or
Commerical Limo/Rideshare
TP Service Drive Sale

In the event of customer's desire to cancel, please fill out the information below and submit.

REASON FOR CANCELLATION  - Please Select One

By submitting, I agree that the customer consents to this cancellation
or that it is authorized due to Total Loss or Repossession.

Your contract will be canceled in accordance with the Cancellation paragraph of your contract.
 

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Thank you for submitting!

* Proof of Mileage is required if cancellation of the program is a Mechanical VSC.

* Proof of Mileage is required if the reason for cancellation is for Customer Request, Cancellation within Grace Period,
Vehicle Sale/Trade, Repossession or Total Loss.

* Proof of Mileage must be received within 30 Days of cancellation of request.

AutoXcel

MAIL FORM TO:

Administrator - AutoXcel Corporation

272 N. Front Street, Suite 500
Wilmington, NC 28401

 

EMAIL FORM TO:

cancellation@autoxcel.net

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910.762.5300
 

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