Plexus Worldwide, Inc.

15649 N. Greenway Hayden Loop

Scottsdale, AZ, 85260

Phone: 480-998-3490

Fax: 480-998-3582

Email: cs@plexusworldwide.com

We regret your decision to cancel your Independent Ambassadorship with Plexus

Worldwide, Inc. We sincerely hope your reason for taking this action is based on personal

reasons and in no way indicates dissatisfaction with our company. If so, we would

appreciate the opportunity to remedy the situation if you so choose. Otherwise, we will

promptly cancel your distributorship upon your compliance with the conditions described

below.

Please know that once cancelled, you will permanently forfeit your present position and all

forthcoming bonuses and commissions. You also may not reapply for a new

Ambassadorship under a new sponsor for six months from the date the company receives

written notice of your voluntary termination.

Distributorship Cancellation

To cancel this agreement, please mail, email or fax a signed and dated copy of this

cancellation form with your information as it is reflected on your account and your reason

for cancellation to Plexus Worldwide, Inc., at the address, email address or fax number at

the top of this page.

Printed Name:

Plexus ID#

Last Four Digits of SSN/SSI/Fed ID#:

Street Address:

City, State (Prov):

Todays Date:

Reason for cancellation:

Signature:

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