EventScan© - Order Cancellation Form - EventScan© - Vaccination Verification, COVID-19 Rapid Testing, and Thermal Scanning Services for Live Events

Event Cancellation Form

Please fill out the form below to cancel your order. Upon completion, a copy of this form will be placed on file and your cancellation will be processed.
Primary Contact Person on Order *

First Name Last Name
Your Company (if applicable)
Company Name
Contracted Testing Date(s) *
Enter a singular date or range of dates.
Email *
example@example.com
Phone Number *

Area Code Phone Number
Reason for Event Cancellation *
Please confirm the statement below by marking the checkbox. *

I am authorized to cancel this event and the services that EventScan was scheduled to provide. I understand that my initial order deposit is non-refundable and I am canceling my order effective immediately upon submission of this form. I understand that my deposit cannot be used towards another event.
Today's Date *

Month Day Year
Date
Your Signature *

Clear
Should be Empty:

Event Cancellation Form