Your First name/Last name

Address

Postal code/ CITY

[Name of the company or association or First name Last name]

Address

Postal code/ City

Done in [your city], on [specify the date].

Subject: Termination request regarding [indicate the subject of your termination]

Madam, Sir,

I subscribed to your [company] on [indicate the contract signature date] in order to receive [indicate the product or service concerned].

By this letter, I kindly request that you take into account my request for non-renewal. In accordance with your general terms and conditions, my subscription/membership will end on [indicate the end date of your subscription/membership].

I thank you in advance for confirming that my request has been processed.

Please accept, Madam, Sir, the expression of my best regards.

[Your signature]