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Signature Please cancel my Preferred Customer Agreement. I understand that I will no longer be able to receive the Melaleuca Preferred Customer benefits including but not limited to the 30 40 discount on products Loyalty Shopping Dollars and Melaleuca Marketplace discounts. Suspend Preferred Customer Benefits Form 3910 S* Yellowstone Hwy. Idaho Falls ID 83402-6003 1. Customer Information Please print clearly MELALEUCA CUSTOMER NUMBER TELEPHONE NUMBER FIRST NAME INITIAL LAST NAME ADDRESS CITY STATE ZIP 2. Feedback We value your feedback. Please take a moment and let us know why you ve decided to suspend your Preferred Customer benefits. Personal Relocating or change of circumstance Monthly commitment Prefer not to shop every month Financial Lack of funds to pay for orders Overstocked Too much of same product Misinformed Didn t understand the Preferred Customer program Other write below We d love your feedback 3. Please suspend my MORE subscription X Customer Signature Date this Suspend Preferred Customer Benefits Form is not valid unless signed by the customer Spouse Signature 4. Send This form must be mailed faxed or emailed to Mail Melaleuca Data Entry Fax 888 528-2090 Email myaccount melaleuca*com Any requests received after the 25th of the current month will be processed the following month. If you decide to reactivate your membership account within the next 6 months we will waive the membership fee In the meantime you are welcome to shop anytime at regular prices. Suspend Preferred Customer Benefits Form 3910 S* Yellowstone Hwy. Idaho Falls ID 83402-6003 1. Customer Information Please print clearly MELALEUCA CUSTOMER NUMBER TELEPHONE NUMBER FIRST NAME INITIAL LAST NAME ADDRESS CITY STATE ZIP 2. Feedback We value your feedback. Please take a moment and let us know why you ve decided to suspend your Preferred Customer benefits. Feedback We value your feedback. Please take a moment and let us know why you ve decided to suspend your Preferred Customer benefits. Personal Relocating or change of circumstance Monthly commitment Prefer not to shop every month Financial Lack of funds to pay for orders Overstocked Too much of same product Misinformed Didn t understand the Preferred Customer program Other write below We d love your feedback 3. Please suspend my MORE subscription X Customer Signature Date this Suspend Preferred Customer Benefits Form is not valid unless signed by the customer Spouse Signature 4. Send This form must be mailed faxed or emailed to Mail Melaleuca Data Entry Fax 888 528-2090 Email myaccount melaleuca*com Any requests received after the 25th of the current month will be processed the following month. Send This form must be mailed faxed or emailed to Mail Melaleuca Data Entry Fax 888 528-2090 Email myaccount melaleuca*com Any requests received after the 25th of the current month will be processed the following month. If you decide to reactivate your membership account within the next 6 months we will waive the membership fee In the meantime you are welcome to shop anytime at regular prices. .

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