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Accessibility Statement
Vendor Angling Licence Cancellation Request
Please note that fields mark with an asterisk
*
are mandatory.
Vendor Name
*
Vendor #
*
Vendor Email
*
(required to send confirmation of licences cancelled)
Vendor Phone #
*
I, ( NAME ) , am requesting cancellation of the following angling licence #(s) as they were not issued to the angler, and I did not receive payment for them:
*
First
Last
Angling Licence #
*
Add another licence#(s)
Add another licence#(s)
Add additional licence #(s) separated by commas:
The total amount of these items is:
*
Reason for Cancellation
*
Date
*
MM slash DD slash YYYY
Consent
*
By checking this box, I certify the information I have provided is true. I understand it is an offence to provide false information.
