We are sorry to see you go and hope we have
been of service to you and your loved one.
Please enter your information below so that we may
verify your cancellation and refund information using
information from your original "Contact Times Form" again.
| Your user name: Use your e-mail address | |
| Your credit or debit card # : | |
| Your land line number, if any with area code: | |
| Your cell phone number, if any with area code: | |
| Loved Ones phone number with area code: | |
| Loved Ones time zone: |
By using this form, your refund will be processed the
first business day as a credit to your credit or debit card.
Voice mail is available and is checked every 24 hours.
Dial 1-406-215-1300
press 0 or 1 to leave a message.
Fax: 406-563-6011
Be sure to leave a call back number or email address.
