First Name
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Last Name
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Company Name
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Phone
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Email
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Preferred method of contact
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Email
Text Message
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Why are you canceling?
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Not in my price range
Need additional services you don't provide
Frustrations with the app/system
Frustrations with the quality of service
I don't have time to set up my account
I hired additional help to answer my phones
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Additional details of why you are cancelling
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Do you have any advice on how we can improve our service?
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Are there any of our services you will need in the future?
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Please check to confirm you understand the following details:
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Your card on file will be charged in the next 1-3 business days for the usage you incurred up to your cancellation.
If I want to keep my Jill's Office phone number - I must put in a request to port it within 10 days of submitting this cancellation form.
On a scale of 1-5 overall how happy were you with our service? 1 being the least satisfied and 5 being the most satisfied.
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😁 5
😀 4
😐 3
🙁 2
😠 1
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