I,
hereby terminate my USE AGREEMENT on space number:
, size:
, effective:
(DD/MM/YY)
Current Date:
Name:
Forward Address:
We would greatly appreciate your feedback on the following:
Please rate on a scale from 1 to 5 (5 is Best)
1
2
3
4
5
Cleanliness of Facility
Location of Facility
Security of Facility
Do you have any comments to help improve
our service and/or facility?
none