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we process bank draft
requests:
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must either print it, or copy this into an
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                                                             CMI Automatic Bank Draft
                                                               CANCELLATION FORM
                  NOTE:  The 20th is the draft day for the UFP, the 25th is for the Masters and UBP




Name on CMI account: ______________________________________________ NOTE: if you joined under a
COMPANY NAME you must use that and
not your personal name.

I am cancelling my automatic bank withdrawals as of (month only please)_______________.  The last 4 digits of
my ID# (ssn or fed id) is: ________________________        Phone: _________________________________
                          MBRID: ______________
Please mark ONE:
____ Until further notice.  (Until I contact the processing center telling them to restart my bank draft.)  
____  Permanently, I am leaving CMI.
To better assist CMI’s customer service, please state the reason you are cancelling:

______________________________________________________________________________

                             
~~Carefully read below and initial BOTH sections:~~
          ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~

____    I acknowledge that if I do not make a  purchase that I will not receive a potential commission check.
For UFP (Silver Streak) & UBP Members:   If I miss 2 purchases in a row, I know that I will permanently lose my
syndication.
For Masters Members:  If I miss a purchase, I know I will not be paid a commission.

If you wish to discuss this policy with CMI headquarters, call 816-478-6305.
~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~ ~ ~ ~ ~ ~ ~  ~ ~ ~
____        I agree that if I wish to restart in the future that I will again contact the CMI data processing center in
writing via email, fax or regular mail to schedule it.
-->   NOTE:  The 15th is the deadline for making any changes or restarts to the bank draft each month.  
Requests received after the 15th will take effect on the following month’s draft cycle.
Thank you,

_________________________________________________________________________________
Signature and date

Send this to:
CMI Processing Center                            
 FAX:                                                   702.617.3454
7437 S EASTERN AVE #445                     EMAIL:  dpcmi@yahoo.com
LAS VEGAS NV 89123-0545                    
Questions?  Call us at:                    702-617-3456

A NOTE ABOUT YOUR COIN DELIVERY:
 You will receive your last order of coins.  It is highly likely that they are
currently on their way to you.  When you receive your next package, please check the PACKING SLIP. It will verify
that the coins  were for the last withdrawal.  If you have questions about your coin shipment, call CMI
Headquarters: 816-478-6305 or email
coinshipping@cmi-institute.com
Check your program:
 ______UFP
(Silver Streak)   ______Masters Stage 1   ______Masters Stage 2   ______UBP