PLEASE FILL OUT THE CANCELLATION FORM BELOW. PLEASE NOTE THAT WE REQUIRE A 30 DAY CANCELLATION NOTICE WITH NO EXCEPTIONS AND THE LAST MONTH IS NOT PRORATED. IF YOU WISH TO DISCONTINUE TAKING LESSONS OR CLASSES WITH US YOU MUST DO SO NO LATER THAN THE 1ST OF THE MONTH YOU ARE WANTING TO CANCEL.

EXAMPLE #1: PUT IN NOTICE SEPTEMBER 1ST; YOU WILL NOT BE CHARGED FOR NEXT MONTH

EXAMPLE #2: PUT IN NOTICE SEPTEMBER 2ND: YOU WILL BE CHARGED FOR NEXT MONTH IN FULL AND THEN WILL RECEIVE NO MORE CHARGES UNTIL YOU RESIGN UP FOR LESSONS OR CLASSES.

STUDENT NAME

First Name

Last Name

EMAIL Address

PHONE NUMBER

(###)

###

####

MAIN CONTACT NAME

First Name

Last Name

WERE YOU HAPPY WITH YOUR SERVICE YOU RECEIVED FROM NSOM?

YES

NO

WHAT REASON ARE YOU HAVING TO LEAVE NSOM?

HOW CAN WE BETTER SERVE YOU? PLEASE BE TOTALLY HONEST HERE BECAUSE THIS HELPS US IMPROVE OUR EXPERIENCE FOR OUR CUSTOMERS. THANKS.

HAVE YOU READ THE PARAGRAPH ABOVE THIS FORM AND UNDERSTAND TO THE TERMS THAT WERE LAID OUT IN THE ENROLLMENT FORM WHEN YOU SIGNED UP WITH US AT NSOM?

YES

WHAT WAS YOUR TEACHER'S NAME?

WHAT INSTRUMENT WERE YOU TAKING LESSONS OR CLASSES FOR?

WOULD YOU RECOMMEND NSOM TO YOUR FRIENDS AND FAMILY?

YES

NO