Rusty DrewingChevrolet · Buick · GMC · Cadillac
Business Office

Product Cancellation Request

Cancel a service contract, GAP, tire and wheel, or maintenance plan purchased with your vehicle at Rusty Drewing Chevrolet Buick GMC Cadillac. Fill out the form, sign it, attach your documents, and it goes straight to our business office.

1

Your information

Use the name on the original purchase contract.

Enter the customer name.
Enter a valid email address.
Enter a 10-digit phone number.
2

Vehicle and contract

Your VIN is on your registration, insurance card, or the driver's side dash.

On your buyer's order.
Enter the dealer where you bought the product.
Enter a 4-digit year.
Enter the make.
Enter the model.
A VIN is 17 letters and numbers (no I, O, or Q).
Enter the current odometer reading.
Choose the effective date.
3

Reason for cancellation

Choose the one that fits best.

Reason for cancellation
Choose a reason.
4

Products to cancel

Check every product you want cancelled. Not sure which ones you have? Check your contract paperwork or call us.

Products to cancel
Choose at least one product.
5

Where should the refund go?

Refund amounts are set by each product's administrator after the cancellation is processed.

Refund destination
Choose where the refund should go.
6

Upload documents

PDF, JPG, PNG, or HEIC. Up to 10 files, 20 MB total. Phone photos are fine; we shrink them automatically.

Lien releaseLetter from your lender showing the loan is paid in full.
    Odometer statement or photoUpload your odometer statement. Don't have one? Take a clear photo of your odometer showing the current mileage.
      Other documentsPayoff letter, total loss settlement, trade-in paperwork, or your product contract.

        No files attached.

        7

        Authorize and sign

        Read the authorization, then sign with your finger or mouse.

        I give Rusty Drewing Chevrolet Buick GMC Cadillac permission to cancel aftermarket products listed above on the vehicle listed above on my behalf. If I have used this anticipated refund(s) towards the purchase of a vehicle, I agree that if the estimated amount exceeds the amount for the vehicle purchase that I will receive a refund of the overage once funding is complete. If the final cancellation amount is less than estimated amount, I agree to pay the difference to the following Rusty Drewing location.
        Choose a location.
        Customer signature*
        Sign here
        Please sign above.
        Print your name.

        Our business manager reviews, signs, and submits the cancellation after we receive this request.

        Your information goes only to the Rusty Drewing business office and is used to process this request.

        Questions about a cancellation?

        Rusty Drewing Chevrolet Buick GMC Cadillac · 2033 Christy Drive, Jefferson City, MO 65101