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411Numbers HK Limited Removal Request Form ⎯ version 20151003 Removal Request Form To request the removal of your records complete the form below. Sign and mail this form with a photocopy of one of your Utility Bill. Your Information Last Name First Name Phone Number Street Address City State / Province Postal Code Country Email Address Record Information Web addresses (URLs) where your records are shown: 1. ____________________________________________________________ 2. ____________________________________________________________ 3. ____________________________________________________________ 4. ____________________________________________________________ 5. ____________________________________________________________ Your Signature Date Signed

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Directory Listing removal

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Page 1: Removal Request Form

411Numbers HK Limited Removal Request Form ⎯ version 20151003

RemovalRequestFormTorequesttheremovalofyourrecordscompletetheformbelow.SignandmailthisformwithaphotocopyofoneofyourUtilityBill.

YourInformationLastName FirstName PhoneNumber

StreetAddress City State/Province

PostalCode Country EmailAddress

RecordInformationWebaddresses(URLs)whereyourrecordsareshown:

1. ____________________________________________________________

2. ____________________________________________________________

3. ____________________________________________________________

4. ____________________________________________________________

5. ____________________________________________________________

YourSignature DateSigned

Page 2: Removal Request Form

411Numbers HK Limited Removal Request Form ⎯ version 20151003

NOTICE

1. Incompleteformswillnotbeprocessed.

2. RequestsmailedwithoutaclearUtilityBill’scopywillnot

beprocessed.

3. WeneedtoseeyournameandaddressontheUtilityBill.Iftheaddressdoesnotmatchtherecordwehaveforyou

online,explainthereasononadifferentpageandadditto

yourrequest.

4. Onceweprocessyourrequestwewilldestroy(shred)this

formandthecopyofyourUtilityBill.

5. Allowupto4weeksforprocessing.

MailingAddress411NumbersLimited

Borsigstr.9

10115,Berlin

Germany


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