GREENLEAF CANCELLATION FORM EYE OF AFRICA CANCELLATION FORM By filling in the below form, you are confirming consent to your personal data being processed for the Solid Fibre order form purpose as described below. Please make sure all required fields are filled in. Required fields are marked with an asterix. (*) CURRENT USER NAME * CURRENT USER NAME First First Last Last EMAIL (TO BE USED FOR BILLING PURPOSES) * PHONE * ACCOUNT NUMBER * CURRENT ADDRESS * CURRENT ADDRESS CURRENT ADDRESS CURRENT ADDRESS City City State/Province State/Province Zip/Postal Zip/Postal CANCEL ALL MY SERVICES * YES NO IF NO, PLEASE LIST SERVICES FOR CANCELLATION EFFECTIVE DATE * REASONS FOR CANCELLATION TERMS AND CONDITIONS * I, the undersigned, hereby declare, agree, and confirm the following terms: 1) Cancellation is restricted as specified above. 2) I undertake to indemnify all parties acting upon the provided information and hold them harmless against any resulting claims. 3) I have comprehensively reviewed, understood, and willingly accepted the binding terms and conditions. 4) The option to terminate the Service Order remains available to customers with a written notice of 1 (one) calendar month. 5) For cancellation, a formal request should be sent to cancellations@solidfibre.co.za or through the cancellation form before the 1st day of the month; notices received on or after the 1st will lead to termination the subsequent month. 6) In case of cancellation during the contract period, an early cancellation fee of R 2,000 (Two Thousand Rand) is applicable, calculated as (R 2000 / remaining contract balance) multiplied by the outstanding contract months, payable within 30 (thirty) days of termination to cover installation costs. 7) I possess the necessary authorisation to sign on behalf of the account holder. 8) The information furnished on this form is accurate and true. If you are human, leave this field blank. Submit
