Opt-Out Notice

MoveUP Opt-Out Notice

I am writing to provide notice that I am choosing to opt out of the Class Action Waiver contained in the following agreement(s) (check the applicable box(es)):

• ☐ the MoveUP User Agreement; and/or
• ☐ the MoveUP Driver Agreement.

Pursuant to the opt-out procedures listed in the agreement(s) indicated above, I am providing the following information:

My Name: ______________________________________________

My Address: ______________________________________________

My Phone Number(s) associated with my MoveUP User Account and/or MoveUP Driver Account, as applicable: ______________________________________________

My E-mail Address(es) associated with my MoveUP User Account and/or MoveUP Driver Account, as applicable: ______________________________________________

Signature: ______________________________    Date: ______________

Please mail this completed form to:
Unified Potential, Inc.
ATTN: Opt-Out Notice Processing
116 Woods Court
South Boston, VA 24592

This MoveUP Opt-Out Notice must be postmarked no later than sixty (60) days after the date you created your MoveUP User Account or MoveUP Driver Account, as applicable. It is your responsibility to mail the Opt-Out Notice by the applicable deadline and to retain proof of mailing and delivery.

Download a printable PDF version of this form.

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