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Parent Cancellation of Services Form - Private client's ONLY

To cancel automatic billing for the next month of tutoring, please complete the following online form. Cancellations must be received no later than close of business on the 10th of each month to be honored. Cancellations will be effective on the 15th of the month. Otherwise, your credit card will be charged for another month of tutoring per your Terms of Service agreement. We do not offer refunds for unused tutoring sessions.

Parent First Name: 
Parent Last Name: 
Student First Name: 
Student Last Name: 
Address: 
Address: 
City: 
State: 
Zip Code: 
Home Phone: 
Cell Phone: 
Work Phone: 
E-mail: 
Name of current tutor: 
Reason for cancellation: 
How would you rate the overall quality of service your student received?: 
How would you rate the quality of your tutor?: 
How would you rate the friendliness and helpfulness of our A to Z staff?: 
How would you rate the affordability of A to Z In-Home Tutoring?: 
Comments: 
For more information
Toll Free 1-866-505-2869
info@atoztutoring.com


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