Dr. Thomas lnman Page 2 of 5 2016-09-29 12:32:36 (GMT) 15102016529 From: Graig Presi

LOCAL SEARCH FOR DENTISTS CANCELLATION REQUEST FORM

Product Name: [local SEO

ANY UNAPPROVED EDITS TO THIS FORM REN DERS NULL AND VOID
Date sent to Client 09/28/29?16. This termination is not. reflective until actually received by Local Search for
Dentists. Agreement only valid if returned by: mill/2016
This form is only to be ?lled out by the Doctor (client) at the Dental Of?cePlease print, fill out all ?elds, and
fax back to our of?ce via. (510) 20143529

Doctor?s Full Name: THOMAS INMAN
Dental Of?ce Address: 10497 TOWN COUNTRY WAY SUITE 914
HOUSTON TX 77024

Per my contract on ?le, I am obligated to give 60 days notice on the Of?cial LSFD Cancellation Form by
fax or parcel when cancelng my account. By signing below, I confirm that I understand, af?rm and
authorize the following information including that the Client will lose all of the deliverables listed below
in Exhibit 

Bcivedere Marketing Group LLC, DEA Local Search For Dentists, a 'l'exas Corporation, will bill my credit card $3497 on ions/2016 
11/22/2016. if necessary, this credit card will be used to pay all unpaid invoices and balances. THOMAS INMAN agrees that LSFD

shall retain all payments made by THOMAS INMAN prior to the exocution of this Agreement, and further agrees to refrain from any
contests of prior payments. Any agreements with Local Search For Dentists shall be governed by the laws of the state of Texas. The Client
hereby unconditionally waives his/her/its rights to jury trial of any claim or cause of action based upon or arising out. of, directly or
indirectly, this contract or the subject matter therein. in the event that litigation, mediation or legal action results from or arises out ol?any
agreement with Local Search For Dentists or the performance thereof, the Parties will lili gate and resolve in the state of Texas in Travis
County.

Mutual Releases: Upon the execution of this agreement and remittance of the remaining payments outlined in this document, Local Search
For Dentists and THOMAS hereby release and discharge one mother, and their respective affiliates, parents, subsidiaries,
owners, directors, o??icers, employees, spouses, attorneys, agents and insurers, from any and all claims, actions, causes of action, appeals,
demands, liabilities, promises, acts, agreements, complaints, costs, attorney?s fees, expenses, damages, responsibilities nnd?or obligations of
any kind, at. common law, equity, statutory or otherwise that each party had in the past, has currently, or may have in the future, whether
known or mlknown, fixed or contingent, claimed or unclaimed, suspected or unsuspected, liquidated or unliquidated resulting from the
parties? conduct involving the contract between the parties relating to Internet-related services, andr?or all matters at issue in, or related in any
way to the facts giving rise to, the contract between the parties relating to internet marketing services.

Confidentiality 8; Non-disparagement: The parties shall keep the contents oi?this document con?dential and not divulge its terms to any
person or entity except that the parties may disclose the terms of this document to their legal and management level employees on a
?necd-io?know" basis; (2) the parties may disclose the terms of this Agreement to his spouse and to his nose untant or ?nancial adviser to the
extent necessary to render tax or ?nancial advice; and (3) either party may disclose the terms ofthis Agreement in response to court order or
to the extent necessary to enforce the Agreement by legal process, or in order to comply with the Agreement. The parties, their agents,
employees, of?cers, shareholders, members, and spouses of all of the preceding, will not disparage each other, cause the di sparsgemeni of
each other, or allow the continued publication olz?prior disparaging statements, regarding the events and circumstances at issue in this
Agreement or the services provided by either party For the purposes ot?this section, ?disparage? shall mean any negative Statement, whether
written or oral, that hnpugns the integrity, capability. honesty. or business practices of the subject party in the mind of a reasonable person.
The parties agree and acknowledge that this non-disparagcment provision is a material term of this Agreement, the absence ol?which would
have res cited in the parties refusing to enter into this Agreement. Furthermore, the parties agree that if a breach of this non?disparagement
provision were to occur, it would be dif? cult to detennlne actual damages. Based upon what the parties know, they agree that $750.00 for
each disparaging statement, per day is a reasonable estimate ofthe damages that would accrue if a breach occurred in the
future, and all parties agree that the amount of liquidated damages is fair and reasonable and would not act as a penalty to the breaching party.

DOCTOR MUST INITIAL DATE HERE: