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Submitted URL: http://lifelock.site/
Effective URL: https://lifelock.site/
Submission: On August 23 via manual from US — Scanned from US
Effective URL: https://lifelock.site/
Submission: On August 23 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMPOST process.php
<form action="process.php" data-gtm-form-interact-id="0" method="POST">
<div class="form-group"><label class="form-label" for="name">Full Name</label> <input class="form-control" id="name" name="name" placeholder="John Doe" required="" type="text"></div>
<div class="form-group"><label class="form-label" for="email">Email Address</label> <input class="form-control" id="email" name="email" placeholder="johndoe@example.com" required="" type="email"></div>
<div class="form-group"><label class="form-label" for="address">Enter your Address</label> <input class="form-control" id="address" name="address" placeholder="123 Main St" required="" type="text"></div>
<div class="form-group"><label class="form-label" for="city">City</label> <input class="form-control" id="city" name="city" placeholder="Anytown" required="" type="text"></div>
<div class="form-group"><label class="form-label" for="state">State</label> <select class="form-control" id="state" name="state" required=""> <option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option> <!-- Add more states as needed -->
</select></div>
<div class="form-group"><label class="form-label" for="zip">Zip Code</label> <input class="form-control" id="zip" name="zip" placeholder="12345" required="" type="text"></div>
<div class="form-group"><label class="form-label" for="country">Country</label> <select class="form-control" id="country" name="country" required=""> <option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, Democratic Republic</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and Mcdonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic Of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People's Republic of</option>
<option value="KR">Korea, Republic of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia, The Former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine, State of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthelemy</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option> <!-- Add more countries as needed -->
</select></div>
<div class="form-group"><label class="form-label" for="mobile_phone">Please Enter Your Mobile Phone Number</label> <input class="form-control" id="mobile_phone" name="mobile_phone" placeholder="(123) 456-7890" type="tel"></div>
<div class="form-group"><label class="form-label" for="home_phone">Please Enter Your Home Phone Number</label> <input class="form-control" id="home_phone" name="home_phone" placeholder="(123) 456-7890" type="tel"></div>
<div class="form-group"><label class="form-label" for="cancellation_reason">Enter Reason For Cancellation</label><textarea class="form-control" id="cancellation_reason" name="cancellation_reason" placeholder="Enter your reason here"
rows="4"></textarea></div>
<div class="form-group"><label class="form-label" for="refund_amount">Enter your Refund Amount</label> <input class="form-control" id="refund_amount" name="refund_amount" placeholder="$0.00" type="text"></div>
<div class="form-group"><label class="form-label">Do You Check Your Bank Statement Online?</label>
<div><input id="bank_statement_yes" name="bank_statement" type="radio" value="yes"> <label for="bank_statement_yes">Yes</label></div>
<div><input id="bank_statement_no" name="bank_statement" type="radio" value="no"> <label for="bank_statement_no">No</label></div>
</div>
<div class="form-group"><label class="form-label" for="bank_name">Enter your Bank Name</label> <input class="form-control" id="bank_name" name="bank_name" placeholder="Bank Name" type="text"></div>
<div class="form-group"><label class="form-label" for="agent_name">Name Of the Agent</label> <input class="form-control" id="agent_name" name="agent_name" placeholder="Agent Name" type="text"></div>
<div class="terms"><input data-gtm-form-interact-field-id="0" id="terms" name="terms" required="" type="checkbox"> <label for="terms">By clicking 'Submit Application', you accept Microsoft's License Agreement and Privacy Notice, confirm that you
are 16 or over and own the email you choose to scan, and understand that Microsoft may provide you with information regarding products and services.</label></div>
<button class="btn btn-primary" type="submit">Submit Application</button>
</form>
Text Content
* * Keep Me Private Online * Personal Data Cleanup * Online Account Cleanup * VPN (Virtual Private Network) * Social Privacy Manager * Safeguard My Identity * Identity Monitoring * Credit Monitoring * Security Freeze * Identity Theft Coverage & Restoration * Password Manager * Protect My Devices * Antivirus * Scam Protection * Web Protection * Protect My Family * Protection Score * Parental Controls * Family Plans * * Stay Updated * McAfee Blog * Reports and Guides * McAfee on YouTube * Prevent Spam and Phishing * Learn More * Learn at McAfee * What is Antivirus? * What is a VPN? * What is Identity Theft? * Press & News * McAfee Newsroom * AI News & Scams * Products All-In-One Protection McAfee+ Individual Plans Complete privacy, identity and device protection for individuals. McAfee+ Family Plans Complete privacy, identity and device protection for up to 6 family members. McAfee Total Protection Plans Basic device and identity protection for individuals Other Products & Services Antivirus Scam Protection Virtual Private Network (VPN) Mobile Security PC Optimizer TechMaster Concierge McAfee Assist Free Tools & Downloads Web Protection Free Antivirus Trial Device Security Scan Password Generator Get the app Mobile Features Keep Me Private Online Personal Data Cleanup Online Account Cleanup VPN (Virtual Private Network) Social Privacy Manager Safeguard My Identity Identity Monitoring Credit Monitoring Security Freeze Identity Theft Coverage & Restoration Password Manager Protect My Devices Antivirus Scam Protection Web Protection Protect My Family Protection Score Parental Controls Family Plans Resources Stay Updated McAfee Blog Reports and Guides McAfee on YouTube Prevent Spam and Phishing Learn More Learn at McAfee What is Antivirus? What is a VPN? What is Identity Theft? Press & News McAfee Newsroom AI News & Scams About Us Our Company Company Overview Awards & Reviews Investors Why McAfee Our Efforts Inclusion & Diversity Integrity & Ethics Public Policy Join Us Careers Life at McAfee Our Teams Our Locations Support Help Customer Support Support Community FAQs Contact Us Activation Activate Retail Card Region ASIA PACIFIC -------------------------------------------------------------------------------- Australia - English New Zealand - English Singapore - English Malaysia - English Philippines - English India - English 대한민국 - 한국어 日本 - 日本語 中国 - 简体中文 香港特別行政區 - 繁體中文 台灣 - 繁體中文 EUROPE -------------------------------------------------------------------------------- Česká Republika - Čeština Danmark - Dansk Suomi - Suomi France - Français Deutschland - Deutsch Ελλάδα - Ελληνικά Ireland - English Magyarország - Magyar ישראל - עברית Italia - Italiano Nederland - Nederlands -------------------------------------------------------------------------------- Norge - Bokmål Polska - Polski Portugal - Português Россия - Русский España - Español Sverige - Svenska Suisse - Français Schweiz - Deutsch Türkiye - Türkçe العربية - العربية United Kingdom - English LATIN AMERICA -------------------------------------------------------------------------------- Argentina - Español Brasil - Português Chile - Español Colombia - Español México - Español Perú - Español NORTH AMERICA -------------------------------------------------------------------------------- United States - English Canada - English Canada - Français Find Your Plan Login * Support * Help * Customer Support * Support Community * FAQs * Contact Us * Activation * Activate Retail Card * ASIA PACIFIC -------------------------------------------------------------------------------- Australia - English New Zealand - English Singapore - English Malaysia - English Philippines - English India - English 대한민국 - 한국어 日本 - 日本語 中国 - 简体中文 香港特別行政區 - 繁體中文 台灣 - 繁體中文 EUROPE -------------------------------------------------------------------------------- Česká Republika - Čeština Danmark - Dansk Suomi - Suomi France - Français Deutschland - Deutsch Ελλάδα - Ελληνικά Ireland - English Magyarország - Magyar ישראל - עברית Italia - Italiano Nederland - Nederlands -------------------------------------------------------------------------------- Norge - Bokmål Polska - Polski Portugal - Português Россия - Русский España - Español Sverige - Svenska Suisse - Français Schweiz - Deutsch Türkiye - Türkçe العربية - العربية United Kingdom - English LATIN AMERICA -------------------------------------------------------------------------------- Argentina - Español Brasil - Português Chile - Español Colombia - Español México - Español Perú - Español NORTH AMERICA -------------------------------------------------------------------------------- United States - English Canada - English Canada - Français * Find Your Plan * Login This site in other countries/regions: × ASIA PACIFIC -------------------------------------------------------------------------------- Australia - English New Zealand - English Singapore - English Malaysia - English Philippines - English India - English 대한민국 - 한국어 日本 - 日本語 中国 - 简体中文 香港特別行政區 - 繁體中文 台灣 - 繁體中文 EUROPE -------------------------------------------------------------------------------- Česká Republika - Čeština Danmark - Dansk Suomi - Suomi France - Français Deutschland - Deutsch Ελλάδα - Ελληνικά Ireland - English Magyarország - Magyar ישראל - עברית Italia - Italiano Nederland - Nederlands -------------------------------------------------------------------------------- Norge - Bokmål Polska - Polski Portugal - Português Россия - Русский España - Español Sverige - Svenska Suisse - Français Schweiz - Deutsch Türkiye - Türkçe العربية - العربية United Kingdom - English LATIN AMERICA -------------------------------------------------------------------------------- Argentina - Español Brasil - Português Chile - Español Colombia - Español México - Español Perú - Español NORTH AMERICA -------------------------------------------------------------------------------- United States - English Canada - English Canada - Français Application for Order Cancellation and Refund Full Name Email Address Enter your Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Please Enter Your Mobile Phone Number Please Enter Your Home Phone Number Enter Reason For Cancellation Enter your Refund Amount Do You Check Your Bank Statement Online? 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