Small Business Barn

Arbitration Agreement Opt-Out Notice

This form is to notify us of your wish to opt out of the arbitration agreement in our user agreement.  Please fill it out completely and mail to :

            Small Business Barn

            Attn : Legal, Opt Out Notice
           120 Madeira Dr NE, STE 220
           Albuquerque, NM 87108

My Name :_______________________________________________________

My Street Address :________________________________________________

My City/Town Residence:___________________________________________

My State of Residence:_____________________________________________

My Zip code:_____________________________________

My Phone #:______________________________________

Include all User ID’s associated with your account that you wish to opt out of arbitration for.

____________________________________________________________________________

Include all email addresses associated with your account that you wish to opt out of arbitration for.

_____________________________________________________________________________________

Date :______________________________     Signature:_______________________________________

The above form must be postmarked no later than 30 days after your first acceptance of our user agreement.