Deactivation Form Deactivation Form To ensure your deactivation is approved, please complete the following form. Please return any outstanding equipment to avoid any charges. If you have any questions, please contact Customer Service at 877-462-5275 ext 9 or via email customerserivce@clarkbrands.com. Your Name*Your Email* Marketer*Store Number*Reason for Deactivation*No longer a service stationDropped by licenseeChargeback protectionCredit card ratesSupply strength