Unlimited Change Comment or Cancel Form - Hoffman Development Corp.

Hoffman Jiffy Lube Signature
Service Oil Change

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* First Name:
* Last Name:
* Email:
* License Plate Number:
* Barcode/Membership Sticker Number:

1. Change my Unlimited Plan:
I am currently a member of:	Unlimited Ultimate Plan - $29.99 includes tax Unlimited Ultimate Interior Plan - $49.99 includes tax

I would like to change my plan to:	Unlimited Ultimate Plan - $29.99 includes tax Unlimited Ultimate Interior Plan - $49.99 includes tax
This change will be effective on your next bill date. By requesting this change, you understand and agree to the new monthly charge.

2. Why are you canceling/changing your Unlimited Plan?:
Type comment here:

3. I have a question or a comment about my Unlimited Plan:
Type question or comment here:

4. I want to cancel my plan. I understand my Unlimited Plan will terminate at the end of my current monthly period. Please allow at least 5 business days before your billing date to effect cancellation.
Please cancel my Unlimited Plan:	Yes No