Transfer Of Ownership - Outgoing Owner [PP]

Transfer of Service for Website

We want to take this opportunity to thank you for allowing us to be your website partner and to wish you the best of luck in your future endeavors.

Service is charged 30 days in advance. Billing change will start with the next billing cycle.

I consent to the transfer of my service to this new provider.*

Confirmed

Perfect Patients manages my domain(s) and I authorize the transfer to the new practice owner.*

Yes No, contact new practice owner for domain name.

I understand the transfer of ownership will not be officially completed until the new owner has read and accepted the terms of service.*

Confirmed

Include any additional domains.

Arrowline

New Practice Owner*

First Name

Last Name

New Owner's Email Address*

New Owner's Mobile Phone*

acctid

caseid*

owner*

case owner