CIPS Cancellation form

CIPS Cancellation form
If you wish to withdraw from the contract, you can do so via the following options:
1. You can complete the form below and send it electronically by selecting the submit button.
2. You can print this page (CTRL+P/CMD+P), complete the form and return it to:
  
  Kaplan Financial Student Services, 2nd floor, Universal Square, Devonshire St North, Manchester M12 6JH. United Kingdom
  
  or email enquiries@cipsondemand.com.
I hereby give notice that I wish to cancel my contract for the supply of:
Course title*
Course start date (optional)
Name of student*

First nameLast name
Email*
Address*

Street Address

Street Address Line 2

CityState / Province / Region

Postal / Zip CodeCountry
Signature (only if this form is notified on paper)
Date*
Please verify that you are human*
Should be Empty: