CANCELLATION FORM

FILL IN THE FORM BELOW

To whom it may concern,

Please accept this form as formal notification of my intention to cancel my contractual agreement with Unitel Direct Limited.

I accept a cancellation fee is applicable due to my intent to cancel before the end of my contractual agreement.

I understand a final invoice will be raised in respect of the cancellation fee which is payable within 28 days following cancellation.

Please state below if you wish for your services to remain live until your contract end date or you wish for all services to be removed with immediate effect, and fill in the relevant details below.