[styledbox type="general" width="550"]<h3>We're sorry to see you go!</h3>[/styledbox] [styledbox type="general" width="550" ]<span style="font-size:14px">Would you tell us why?</span>[/styledbox]

[styledbox type="general" width="550"] [reveal title="What? I don't want to cancel!!"] Email form goes here [/reveal] [/styledbox]