Terms of Service
The terms governing your use of PlatformPilot services, APIs, tools, dashboards, and websites. Version 2.0, effective February 2026.
Agreement and scope
Selected region: Europe, including the EU, EEA, UK, and Switzerland. View the global terms.
This page mirrors the PlatformPilot terms published by DynG AI. Read the authoritative European source.
Before you access our services, please read these Terms of Service.
These Terms of Service ("Terms") and our Acceptable Use Policy ("AUP") set out the agreement between you and PLATFORMPILOT LIMITED ("PlatformPilot", "we", "us", or "our") to use PlatformPilot.ai and other products and services that we may offer, along with any associated APIs, tools, dashboards, and websites (together, our "Services"). Please take some time to read over them and understand them. By agreeing to these Terms, or in the absence of such agreement, by using the Services, you agree to be bound by them, including any changes made to them in accordance with the Terms. Our affiliates, licensors, and service providers (collectively "Providers") are not contracting parties under these Terms.
These Terms apply to you if you are resident in the European Economic Area, Switzerland, or the United Kingdom. In these Terms, when we refer to "we", "us" or "our", we mean PlatformPilot. Other words in bold and inverted commas have the meaning given to them where the word or phrase is first used.
Please read our Privacy Policy, which describes how we collect and use personal information.
1. Who we are
DynG AI (acronym of Dynamic Graph of AI Agents) is an AI-first software company building autonomous tools that help customers engineers manage, monitor, and optimise cloud infrastructure. We develop and apply agentic AI techniques for platform engineering capabilities, and deliver these through PlatformPilot.ai.
PLATFORMPILOT LIMITED is registered in Ireland (CRO 736067), with its registered office at 45 Cedar Grove, Ridgewood, Swords, Dublin, K67 P2K1, Ireland. PlatformPilot.ai is an affiliate of DynG AI, Inc.
2. Account creation and access
Minimum age
You must be at least 18 years old to use the Services.
Your PlatformPilot Account
To access our Services, we may ask you to create an account (your "Account"), to provide certain information (such as your email address), and to create a password. You agree to provide correct, current, and complete information and allow us to use it to communicate with you about our Services. You agree to notify us promptly if there are any changes to the information you have provided to us. Our communications to you using such information will satisfy any requirements for legal notices.
You may not share your Account login information, API keys, or Account credentials with anyone else or make your Account available to anyone else. You are responsible for all activity occurring under your Account and agree to notify us immediately if you become aware of any unauthorised access to your Account by sending an email to [email protected].
You may close your Account at any time by contacting us at [email protected].
Organisation domains
If you use an email address owned by your employer or another organisation, your Account may be linked to the organisation's account with us and the organisation's administrator may be able to monitor and control the Account, including having access to Platform Materials (defined below). We will provide notice to you before linking your Account to an organisation's account. However, if the organisation is responsible for notifying you or has already informed you that it may monitor and control your Account, we may not provide additional notice.
Evaluation and additional services
In some cases, we may permit you to evaluate our Services for a limited time or with limited functionality. Use of our Services for evaluation purposes is for testing and assessment only.
You may need to accept additional terms to use certain Services. These additional terms will supplement our Terms for those Services and may change your rights or obligations for those Services, including your obligations to pay fees.
3. Use of our Services
You may access and use our Services only in compliance with our Terms, including our Acceptable Use Policy, and any guidelines or supplemental terms we may post on the Services (the "Permitted Use"). You are responsible for all activity under the account through which you access the Services.
You may not access or use, or help another person to access or use, our Services in the following ways:
In any manner that violates any applicable law or regulation, including any laws about exporting data or software to and from any countries in the European Economic Area, Switzerland, the United Kingdom, or other countries.
To manage, monitor, or take actions on infrastructure that you do not own or are not authorised to manage.
To develop any products or services that compete with our Services, including to develop or train any artificial intelligence or machine learning algorithms or models, or to resell the Services.
To decompile, reverse engineer, disassemble, or otherwise reduce our Services to human-readable form, except when these restrictions are prohibited by applicable law.
To crawl, scrape, or otherwise harvest data or information from our Services other than as permitted under these Terms.
To use our Services, the Platform Materials, or the Actions to obtain unauthorised access to any system or information or to deceive any person.
To attempt to bypass safety guardrails, autonomy limits, or approval workflows configured within the Services.
To configure Actions that exceed your authorisation scope within your cloud provider accounts.
To infringe, misappropriate, or violate intellectual property or other legal rights (including the rights of publicity or privacy).
To engage in any other conduct that restricts or inhibits any person from using or enjoying our Services, or that we reasonably consider exposes us, our users, affiliates, or any third party to any liability, damages, or detriment of any type.
You also must not abuse, harm, interfere with, or disrupt our Services, including, for example, introducing viruses or malware, spamming or DDoSing Services, or bypassing any of our systems or protective measures.
4. Inputs, Outputs, Actions, and Platform Materials
Generally
You may interact with our Services by providing infrastructure configurations, monitoring data, queries, commands, policies, and specifications (we call these "Inputs"). Our Services may generate recommendations, analysis reports, alerts, dashboards, insights, and configurations (we call these "Outputs") or enable the Services to take autonomous platform engineering operations on your behalf, including but not limited to infrastructure provisioning and management, CI/CD pipeline orchestration, observability and monitoring configuration, security policy enforcement, incident detection and response, cost optimisation, capacity planning, service mesh and networking configuration, compliance and governance checks, secret and configuration management, deployment strategies, and developer experience tooling (we call these "Actions"). Inputs, Outputs, and Action logs collectively are "Platform Materials".
Rights and responsibilities
You are responsible for all Inputs you submit to our Services and all Actions. You must ensure that you have all rights, licences, and permissions that are necessary for us to process such Inputs in accordance with our Terms and to provide the Services to you, including to integrate with third-party cloud services and to take Actions. You must ensure that your submission of Inputs to us or directing PlatformPilot.ai to take Actions will not violate our Terms, our Acceptable Use Policy, or any laws or regulations applicable to those Inputs.
As between you and PlatformPilot, and to the extent permitted by applicable law, you retain any right, title, and interest that you have in such Inputs. Subject to your compliance with our Terms, we assign to you all our right, title, and interest (if any) in Outputs.
Reliance on Outputs and Actions
Artificial intelligence and machine learning are technologies that are still improving in accuracy, reliability, and safety. When you use our Services, you acknowledge and agree:
Outputs may not always be accurate and may contain material inaccuracies even if they appear accurate because of their level of detail or specificity.
Actions may not be error-free or operate as you intended. Autonomous operations on your infrastructure carry inherent risks, including potential service disruption, data loss, or unintended configuration changes.
You should not rely on any Outputs or Actions without independently confirming their accuracy and reviewing action logs.
The Services and any Outputs may not reflect correct, current, or complete information about your infrastructure state.
You are solely responsible for configuring appropriate autonomy levels, guardrails, and approval workflows for Actions.
You are responsible for maintaining appropriate backups, rollback procedures, and monitoring of all Actions taken by the Services.
Our use of Platform Materials
We may use Platform Materials to provide, maintain, and improve the Services and to develop other products and services. We will not use your Inputs or infrastructure data to train our AI models without your explicit consent. If you provide consent, such data will be anonymised and aggregated before use in training. Even without consent, we may use Platform Materials for safety review to improve our ability to detect harmful operations, enforce our policies, or advance our safety research.
Technical limitations
Different types of Service (including paid-for Services under a Subscription) may have technical restrictions associated with them, for example, the number of monitored clusters, the scope of autonomous Actions, or the frequency of analysis within a certain period of time ("Technical Limitation"). For more information about the Technical Limitations for each type of Service offering, see the relevant plan page on our website.
5. Feedback
We appreciate feedback, including ideas, suggestions for improvement, or assessments of Actions and Outputs ("Feedback"). Feedback is distinct from your Inputs and infrastructure data; it represents your opinions, suggestions, and assessments. You have no obligation to give us Feedback, but if you do, you agree that we may use the Feedback however we choose without any obligation or other payment to you.
6. Subscriptions, fees, and payment
Fees and billing
You may be required to pay fees to access or use our Services or certain features of our Services. You are responsible for paying any applicable fees listed on the Services. All fees are displayed inclusive of applicable VAT.
If you purchase access to our Services or features of our Services from us, you must provide complete and accurate billing information ("Payment Method"). You confirm that the card or bank account which is being used as your Payment Method is yours, or that you have the authorisation of the account holder to use it. If you use a Payment Method which you are not authorised to use, you will be liable to us for any losses that we suffer as a result of your use of that Payment Method.
You agree that we may charge the Payment Method for any applicable fees listed on our Services and any applicable tax. If the fees for these Services or features are specified to be recurring or based on usage (for example, a Subscription), you agree that we may charge these fees and applicable taxes to the Payment Method on a periodic basis.
Except as expressly provided in these Terms or where required by law, all payments are non-refundable. Please check your order carefully before confirming it, and see below for additional information about recurring charges for our subscriptions.
You agree that we will not be held liable for any errors caused by third-party payment processors used to process fees paid by you to us.
Subscriptions
To access PlatformPilot.ai subscription services (such as Starter, Professional, Teams, or Enterprise plans), you must sign up for a subscription with us (a "Subscription"), first by creating an Account and then following the subscription procedure on our Services. When you sign up for a Subscription, you agree to these Terms.
a. Subscription order. Your order for a Subscription constitutes an offer by you to enter into a Subscription with us. We will confirm our acceptance of your order by sending you a confirmation email (the "Confirmation Email"). Sometimes we reject orders, for example, if you are located in a country where we do not offer the Service or the Service was mispriced by us. A contract for the Subscription, which is on the basis of these Terms, will become legally binding on you and us when we send you the Confirmation Email.
b. Subscription content, features, and services. The content, features, and other services provided as part of your Subscription, and the duration of your Subscription, will be described in the order process. We may change or refresh the content, features, and other services from time to time, and we do not guarantee that any particular piece of content, feature, or other service will always be available through the Services.
c. Subscription term and automatic renewal. If your Subscription has a minimum term (the "Initial Term"), we will let you know during the order process. Your Subscription will last for the Initial Term and will automatically renew for an additional term equal in duration to the Initial Term and will continue to renew and incur charges for additional terms equal in duration to the Initial Term (each such additional term, a "Renewal Term").
d. Subscription fees. You will pay the fees for the Initial Term and each subsequent Renewal Term up front at the start of that Initial Term or Renewal Term (as applicable). We have the right to make changes to the fees applicable to your Subscription from time to time, although we will not make any change to the fees applicable to your Subscription during the current Initial Term or Renewal Term (as applicable). If these changes result in an increase in the fees payable by you, we will inform you at least 30 days in advance of the change and you shall be deemed to have agreed to the increase in fees payable by you unless you cancel the Subscription before the Renewal Term to which the increase in fees will apply.
e. Subscription cancellation. You may cancel your Subscription at any time by using a method we may provide to you through our products or by notifying us at [email protected]. To avoid renewal and charges for the next Renewal Term, cancel your subscription at least 24 hours before the last day of the Initial Term or any Renewal Term. In the event of a cancellation, your fees will not be refunded, but your access to the Services will continue through the end of the Initial Term or any Renewal Term for which you previously paid fees.
f. Additional cancellation rights (right of withdrawal). You have a legal right to change your mind and cancel the Subscription within 14 days of entering into the Subscription without giving a reason, in accordance with the EU Consumer Rights Directive (2011/83/EU).
To exercise the right to cancel in the 14-day cancellation period, you must inform us of your decision to cancel the Subscription by making a clear statement to us before the cancellation period has expired. The easiest way to do this is by contacting us at [email protected]. You may also use the model cancellation form in Appendix 1 of these Terms, but it is not obligatory. We will acknowledge your cancellation.
If you cancel the Subscription under this section, we will reimburse you all payments received from you for the cancelled Subscription. We will make the reimbursement without undue delay, and not later than 14 days after the day on which we are informed about your decision to cancel. We will make the reimbursement using the same means of payment as you used for the initial transaction; you will not incur any fees as a result of the reimbursement.
If you have used the Services during the 14-day cancellation period, and wish to cancel the Subscription, you can still do so, but we may retain an amount which is in proportion to what has been provided until you have communicated your withdrawal from these Terms, in comparison with the full coverage of the Subscription.
Additional fees
We may also change the fees for access to our Services that do not require a Subscription. If we charge additional fees in connection with those Services, we will give you an opportunity to review and accept the additional fees before you are charged. If you do not accept any such additional fees, we may discontinue your access to those Services or features.
7. Third-party services and cloud providers
Our Services integrate with third-party cloud services and infrastructure providers, including Google Cloud Platform (GCP), Amazon Web Services (AWS), and Microsoft Azure ("Cloud Providers"), as well as other third-party monitoring, CI/CD, and development tools ("Third-Party Services").
PlatformPilot.ai operates as an external service that connects to your Cloud Provider accounts via APIs and credentials that you provide. Actions are executed within your Cloud Provider accounts and are subject to your agreements with those Cloud Providers. You are responsible for your Cloud Provider agreements, usage costs, and compliance with their terms of service.
We do not control or accept responsibility for any loss or damage that may arise from your use of any Third-Party Services or Cloud Providers. Your use of any Third-Party Services and Cloud Providers is at your own risk and subject to any terms, conditions, or policies applicable to such services.
Changes to third-party APIs or services may affect PlatformPilot.ai functionality. We will make reasonable efforts to adapt to such changes but do not guarantee uninterrupted compatibility with all Third-Party Services or Cloud Providers.
8. Software
We may offer manual or automatic updates to our Services ("PlatformPilot Software"), without advance notice to you. PlatformPilot Software may include open source software. In the event of any conflict between these Terms and any other PlatformPilot or third-party terms applicable to any portion of PlatformPilot Software, such as open-source licence terms, such other terms will control as to that portion of the PlatformPilot Software and to the extent of the conflict.
Updates to the Services may change the behaviour of autonomous Actions or the scope of platform engineering capabilities. We will notify you of material changes to autonomous behaviour with reasonable advance notice for non-security updates.
9. Ownership of the Services
The Services are owned, operated, and provided by us and, where applicable, our Providers. We and our Providers retain all our respective rights, title, and interest, including intellectual property rights, in and to the Services. Other than the rights of access and use expressly granted in our Terms, our Terms do not grant you any right, title, or interest in or to our Services. For the avoidance of doubt, ownership of the Services does not extend to your infrastructure, configurations, or operational data; those remain yours as set out in Section 4.
10. Data protection
Our collection and use of personal information is governed by our Privacy Policy, which is incorporated into these Terms by reference and complies with the General Data Protection Regulation (GDPR).
We process your personal data in accordance with GDPR and applicable national data protection laws. You have the rights set out in our Privacy Policy, including the right to access, rectify, erase, restrict processing, and port your data. For questions about data protection, contact our Data Protection Officer at [email protected].
For enterprise customers, a Data Processing Agreement (DPA) is available upon request to supplement these Terms in accordance with GDPR Article 28.
11. Disclaimer of warranties, limitation of liability, and indemnity
Service standards
Our team works hard to provide great services, and we are continuously working on improvements. You may have legal rights in relation to our Services, including where the Services are not as described, faulty, or otherwise not fit for purpose. If you believe that any of our Services that you have ordered do not conform with these Terms, please contact us at [email protected]. Other than those legal rights, your use of the Services, Platform Materials, and Actions is solely at your own risk. The Services, Outputs, and Actions are provided on an "as is" and "as available" basis and, to the fullest extent permissible under applicable law, are provided without warranties of any kind, whether express, implied, or statutory.
No limitation
Nothing in these Terms excludes or limits our liability for:
Death or personal injury caused by our negligence.
Fraud or fraudulent misrepresentation.
Any matter in respect of which it would be unlawful for us to exclude or restrict our liability. This includes your rights that the Services are of satisfactory quality, fit for purpose, and as described.
Foreseeable loss
Except as set out in No Limitation above, we and our Providers are not responsible for any loss or damage that is not foreseeable. Loss or damage is foreseeable if it was an obvious consequence of our breach or if it was contemplated by you and us at the time that you accessed our Services, or if you have a Subscription, at the time that the agreement between you and us related to your Subscription became binding (i.e., when the Confirmation Email for that Subscription was issued).
AI and platform engineering disclaimers
You acknowledge that AI-driven platform engineering involves autonomous operations on production infrastructure. Without limiting any other provision of these Terms:
Outputs, including recommendations and generated configurations, may contain errors, inaccuracies, or suboptimal suggestions. You are responsible for reviewing and verifying any Outputs before relying on them.
Actions executed by the Services carry inherent risks. We are not liable for service disruptions, data loss, or unintended configuration changes resulting from Actions that you configured and approved.
We are not liable for infrastructure outages, costs, or other issues caused by or attributable to your Cloud Providers.
We do not guarantee that Actions will prevent all incidents or that autonomous responses will be optimal in all circumstances.
Your rights
Nothing in these Terms affects your statutory rights and we are under a legal duty to provide you with Services that are in conformity with the terms applying to our Services. Advice about your statutory rights is available from your local Citizens' Information Board (or local equivalent, if applicable).
Limitation of liability
Except as otherwise set out in No Limitation above, our total liability to you for any loss or damage arising out of or in connection with these Terms, whether in contract (including under any indemnity), tort (including negligence), or otherwise will be limited to the greater of: (a) the amount you paid to us for access to or use of the Services in the twelve months prior to the event giving rise to the liability, and (b) €100.
Beneficiaries
Our Providers may benefit from, and enforce, their rights under this Section 11.
12. Data switching and portability
You may write to us in accordance with your legal rights and ask to switch to another service provider or port all your exportable data and digital assets to an on-premise ICT infrastructure ("Switching Request"). You shall provide two months' written notice for any Switching Request ("Notice Period"). Within one month before the end of the Notice Period you shall notify us, where applicable, of details of the new service provider, the on-premise ICT infrastructure, or your decision to erase your exportable data and digital assets.
We will initiate your Switching Request after the Notice Period and the switching process will be completed within 30 days after the end of the Notice Period (the "Transitional Period"). However, where there is technical unfeasibility, we may notify you within 14 days of the Switching Request of an extension to the Transitional Period which may be up to seven months. You can also extend the Transitional Period once for a reasonable and appropriate period. During the Transitional Period these Terms shall continue to apply and we will:
Provide you and your authorised representatives with reasonable assistance in the switching process, including supporting your exit strategy in relation to the Services.
Take due care to maintain business continuity and continue providing the Services in accordance with the Terms.
Provide information on known risks to the continuation of the Services.
Ensure a high level of security during the switching process.
Exportable data includes your infrastructure configurations, action logs, audit trails, alert rules, monitoring dashboards, and integration configurations. Export is available in standard formats (JSON, YAML, CSV).
These Terms shall automatically terminate upon the successful completion of the switching process or at the end of the Notice Period where you instruct us to erase your exportable data and digital assets upon termination, whichever is sooner. After the end of the Transitional Period, you shall have 30 calendar days to retrieve all exportable data and digital assets ("Retrieval Period") and after the switching process is complete, at the end of the Retrieval Period we shall erase all exportable data and digital assets except to the extent that applicable law requires or permits us to retain data.
13. General terms
Changes to Services
Our Services are novel and will change. We may sometimes add or remove features, increase or decrease capacity limits, offer new Services, or stop offering old ones. We may modify, suspend, or discontinue the Services or your access to the Services. Where those actions will materially impact your use of the Services, we will endeavour to notify you in accordance with this section.
Where feasible, we will provide you with at least 30 days' advance notice of any such changes to the Services that would materially limit or reduce the features, availability, or functionality of the Services. However, there may be urgent situations (such as preventing abuse, responding to legal requirements, or addressing security and operability issues) where providing advance notice is not feasible.
If you do not wish to continue using the Services following material changes to the Services, please cancel your Account (or Subscription, if applicable) by notifying us at [email protected] and we will refund you a portion of the fees paid by you that are for the remaining portion of your Subscription after termination occurs.
Changes to these Terms
We may revise and update these Terms. We will notify you of changes to the Terms which are reasonably likely to affect your use of the Services or legal rights. These changes will come into effect no less than 30 days from when we notify you, unless the change is due to a change in law or for security reasons (in which case we may need to change the Terms on shorter notice).
If you do not wish to continue using our Services following any changes to the Terms, you can terminate these Terms (or a Subscription) by notifying us at [email protected], before the changes take effect. If you exercise this termination right, we will refund to you a portion of the fees paid by you that are for the remaining portion of your Subscription after termination occurs.
Supplemental terms
We may post supplemental terms or offer new Services or features that require service-specific terms or guidelines. If you decide to use those new Services or features, you agree to comply with any applicable guidelines, rules, or supplemental terms ("Supplemental Terms"). Enterprise and organisation customers may also be subject to additional terms, including Data Processing Agreements (DPAs) and Service Level Agreements (SLAs). If these Terms conflict with Supplemental Terms, the Supplemental Terms will govern for the applicable Service.
Termination
You may stop accessing the Services at any time. We may suspend or terminate your access to the Services at any time without notice to you if:
We believe that you have materially breached these Terms.
We must do so in order to comply with applicable law.
Immediate suspension or termination is necessary for security reasons and therefore we cannot provide notice.
Before terminating your account for breach, we will (where practicable) provide you with reasonable notice and an opportunity to remedy the breach, unless the breach is severe or poses an immediate security risk.
We may also terminate your Account if you have been inactive for over a year and you do not have a paid Account. If we decide to terminate your Account due to inactivity, we will give you advance notice before doing this.
If we terminate your access to the Services due to a material breach of these Terms and you have a Subscription, you will not be entitled to any refund and we may take further legal action against you.
If you have a Subscription, we may terminate the Subscription at any time by giving you at least 30 days' notice in writing (email is sufficient). If we exercise this right, we will refund you on a pro rata basis the fees paid by you for the remaining portion of your Subscription after termination.
Upon termination of these Terms, a Subscription, or your access to the Services, the rights granted to you under our Terms to access and use our Services will immediately terminate. You will have 30 days to export your Platform Materials in accordance with Section 12. Sections 6 (with respect to fees outstanding as of such expiration or termination), 9, 10, 11, and 13 will survive any expiration or termination of our Terms or a Subscription.
Severability
Each of the sections of these Terms operates separately. If any court or relevant authority decides that any of them are unlawful or unenforceable, the remaining sections will remain in full force and effect.
No waiver
If we fail to insist that you perform any of your obligations under these Terms, or if we do not enforce our rights against you, or if we delay in doing so, that will not mean that we have waived our rights against you and will not mean that you do not have to comply with those obligations. If we waive a default by you, we will only do so in writing, and that will not mean that we will automatically waive any later default by you.
No assignment
These Terms may not be transferred or assigned by you without our prior written consent, but may be assigned by us without restriction, provided that such assignment does not reduce your rights under these Terms.
Use of our brand
You may not, without our prior written permission, use our name, logos, or other trademarks in connection with products or services other than the Services, or in any other way that implies our affiliation, endorsement, or sponsorship. To seek permission, please email us at [email protected].
Export controls
You may not export or provide access to the Services into any U.S. embargoed countries or to anyone on (i) the U.S. Treasury Department's list of Specially Designated Nationals, (ii) any other restricted party lists identified by the Office of Foreign Asset Control, (iii) the U.S. Department of Commerce Denied Persons List or Entity List, or (iv) any other restricted party lists. You agree that you and anyone accessing or using the Services on your behalf, or using your Account credentials, are not such persons or entities and are not located in any such country.
Entire agreement
These Terms, together with the Privacy Policy, Cookie Policy, Acceptable Use Policy, and any applicable Supplemental Terms, constitute the entire agreement between you and PlatformPilot regarding the Services.
14. In case of disputes
Governing law and jurisdiction. These Terms are governed by Irish law. This means that your access to and use of our Services, and any dispute or claim arising out of or in connection therewith (including non-contractual disputes or claims) will be governed by Irish law, and must be brought in a competent court in Ireland. However, if you are a consumer within the European Economic Area, Switzerland, or the United Kingdom, you may also file legal disputes in your local courts, based on your local laws.
If you are a consumer in the European Economic Area, you may also use the European Commission's Online Dispute Resolution platform at: https://ec.europa.eu/consumers/odr
Contacting us. Should you have any reasons for a complaint, we will endeavour to resolve the issue and avoid any re-occurrence in the future. You can always contact us by using the following details:
PLATFORMPILOT LIMITED CRO 736067 45 Cedar Grove, Ridgewood, Swords Dublin, K67 P2K1, Ireland Email: [email protected] Data Protection Officer: [email protected] Website: https://www.dyng.ai
Appendix 1: Model Cancellation Form
[Complete and return this form only if you wish to cancel the contract]
To: PLATFORMPILOT LIMITED ([email protected], 45 Cedar Grove, Ridgewood, Swords, Dublin, K67 P2K1, Ireland):
Subject: Cancellation Request
I/We hereby give notice that I/We cancel my/our contract for the provision of the following service:
Ordered on / Received on: _______________
Name of Consumer(s): _______________
Email address of Consumer(s) used to process the order: _______________
Address of Consumer(s): _______________
Signature of Consumer(s) (only if this form is notified on paper): _______________
Date: _______________