"NOTICE OF CANCELLATION
If your insurer denies all or any part of your claim to pay for goods and services to be provided under this contract, you may cancel the contract by mailing or delivering a signed and dated copy of this cancellation notice or any other written notice to ______ (name of contractor) at _______ (address of contractor's place of business) at any time within seventy-two (72) hours after you have received written notice that your claim has been denied. If you cancel, any payments made by you under the contract will be returned to you within ten (10) business days following receipt by the contractor of your cancellation notice.
I HEREBY CANCEL THIS TRANSACTION
______________________
(date)
______________________
(insured's signature)"
Okla. Stat. tit. 59, § 1151.21