[styledbox type="general" width="550"]<h3>We're very sorry to see you go!</h3>[/styledbox] [styledbox type="general" width="550" ] [si-contact-form form='1'] [/styledbox]

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