Service Cancellation Request

WHEN TO USE THIS FORM: 1. You have an active Webvault service that you would like to cancel in full or in part.

Need Help with this Form?Call 1300 139 927 (Option #2) Email: support@webvault.com.auWeb: www.webvault.com.au

Webvault Account Details

Company Name:*

Your Account Number*

Your Contact Details

For security purposes you must FIRST be listed as an authorised representative on the account in order to make the requested changes. We will contact you if we have any questions in relation to your cancellation request.

Contact Name*

Phone Contact*

Email Address*

Services to be Cancelled

Please accurately list all services to be cancelled*

What Information do we Need? 1. If cancelling a service in full, please specify the service as described on a recent Webvault Invoice. 2. If cancelling a service in part, please specify the precise feature, component, email account or domain of the service you would like to cancel or adjust. Be Specific. 3. If your service is linked or associated directly with other services that you wish to continue using (eg. another domain name attached to the same website/server/organisation) then you should specify that we DO NOT cancel that linked service.

Effective Cancellation Date*

Date

Your services will be cancelled ON or AFTER this date.

Please confirm ALL of the following in relation to this service cancellation.*

I understand that cancelling my service(s) will result in loss of ALL data stored in relation to the listed service(s) and that it will be non-recoverable.I have taken a backup copy of any data for the listed service(s) that I wish to keep.I understand that cancelling my service WILL result in service disruption.If I am transferring my service(s) to another provider, I have made arrangements with my new service provider to transition my services PRIOR to the effective cancellation date.

Terms & Conditions of Cancellation

1. Refunds are not available for unused prepaid periods of service unless first approved by our accounts department. Please contact accounts@webvault.com.au if you would like a refund.

2. Service cancellations require at least 7 working days notice and removal of your services from our network are subject to staff availability. Metro Ethernet/Fibre services require a minimum of 30 days notice for cancellation.

3. Early cancellation of services still under contract will attract an early termination fee payable within 21 days from the effective date of cancellation.

Authorisation*

I am an authorised representative on this account and request cancellation and removal of the above listed services from the Webvault Network.

Signed*

Date*

Date

Position*