EmailMeForm
Service Cancelation and Refund Request Form
Client's Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
*
###
-
###
-
####
Who initiated cancelation:
*
Customer
"New Vision Remodeling Group LLC"
Explain the reason for cancelation:
Total amount of project:
*
$
Dollars
All cancelations initiated by "customers" will accrue a 20 % deduction as state it on original contract.
Calculate the amount and enter below.
Cancelation/penalty fee amount:
*
$
Dollars
Customer, please review and sign the cancelation request and have it notarized on the state of Georgia.
Once complete please email copy of notarized documents to "NewVisionRemodelingGa@Gmail.Com"
Terms and conditions:
I understand and i agree, that i will be deducted the cancelation amount state it in the cancelation request form.
I understand and i agree, that i will not seek any other monetary compensation for the cancelation of the service.
I understand and i agree, that "New Vision Remodeling Group LLC", it's employees, independent contractors or advisors will NOT be hold accountable for any legal action requesting any monetary compensation now or in the future due to the cancelation of this project.
Customer please sign review and sign below.
Signature must match, government identification or driver's license.
You must upload your driver's license.
Government identification or driver's license is required.
*
Signature
*
Clear
I understand that by signing the service cancelation request form, this form, i have reviewed and i agreed to continue with the terms and conditions of such form.
First review and sign the Cancelation Form then you will receive a formal requested form, Then you can take this document to get Notarized.
Notary Use:
Customer's Full Name: ___________________________________________
Customer's Signature before Notary: ________________________________
Notary Note and Seal:
State of _______________ County of _______________________________
The foregoing instrument was acknowledge before me this _________day
of ____________,20_____.
by __________________________________________________________
Notary Public
My Commission Expires ______________________________
Seal: