Hawaiiana Management Company, Ltd.
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The Online Cancellation Form must be received by Hawaiiana on or before the 15th of a month to terminate SurePay service for the following month.
By completing and submitting this Online Cancellation Form, I authorize Hawaiiana Management
Company, Ltd. (Hawaiiana) to terminate my Surepay service. The Online Cancellation Form must be
received by Hawaiiana on or before the 15th of a month to terminate service for the following month;
otherwise termination will take place after the following month's payment.
Type your name in the *Signature Block*. By typing in your name, you are signing this form electronically
and you agree your electronic signature is the legal equivalent of your manual signature on this form and
that you are authorizing the changes you have made on this form.