Order Cancellation Form – Over The Horizons

OTH Product Order Cancellation Form

* = Required

OTH Cust or Mbr:

Select One

Cust/Mbr ID#:

########

Name:

Email:

custemail@email.com

Shipping Address:

Street #/Name, Apt#/Suite#/Building#, City. State, Zip

Is The Billing Address The Same As The Shipping Address?:

Yes No

Pick One

Phone #:

(###)###-####

Date of Order:

mm-dd-yyyy

Order Invoice ID#:

########

Order Total Amount:

$###.##

Order Type:

Pick One

Reason You Want To Cancel Your Order?:

Pick One