DEMAND
FOR ARBITRATION
Please
provide the following information in connection with your dispute with Kool
Telecom Ltd. (“Responding Party”), as submitted by you or the organization that
you represent (“Initiating Party” and together with the Responding Party, the
“Parties”):
Name
of the Initiating Party: ____________________________________
Address
of the Initiating Party: ____________________________________
____________________________________
____________________________________
Telephone
Number of Initiating Party: ____________________________________
E-mail
Address of Initiating Party: ____________________________________
Name of Responding Party:
Kool Telecom Ltd.
11301 W. Olympic Blvd. # 314
Los Angeles, CA 90064
Telephone Number of Responding Party:
1 888-898-0850
E-mail
Address of Responding Party: support@kooltelamerica.com
The
Initiating Party previously agreed to the KoolTel Terms of Services (“Terms”). The Terms contain a valid and binding
arbitration clause for the resolution of disputes, a copy of which is attached
hereto as Exhibit A. The Parties
are in dispute as to the following issue(s):
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
As
the Parties cannot agree as to the resolution of the subject dispute, the
Initiating Party hereby demands that the Responding Party submit to arbitration
pursuant to the rules and procedures set forth by either the American
Arbitration Association (“AAA”) or the Judicial Arbitration and Mediation
Services, Inc. (“JAMS”), as selected by the Initiating Party.
The
Initiating Party is claiming the following damages:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Total
Damages Claimed $ ___________________
In
filing this Demand for Arbitration (“Demand”), the Initiating Party certifies
the following:
He/she/it
has provided the Responding Party with a copy of this Demand by both e-mail and
by certified mail, return receipt requested.
So
demanded and certified, this ___ day of ________________, 20__.
___________________________________________________
Initiating
Party
Sworn
to and subscribed before me, this ___ day of __________________, 20__.
___________________________________________________
Notary
Public.
(PLEASE NOTE: Notarization is required for original and
mailed copies only. Notarization is not
required to file or serve this Demand via e-mail)