Revocation Form

(If you wish to revoke the contract, please fill in this form and return it to us).


Traffic-Forces Inc

3409 Executive Center Drive

Suite 126


TX 78731





–  I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of

   the following articles / Services:


– Ordered on (*)/received on (*):

– Name of the consumer(s):

– Address of the consumer(s):



___________                           ___________________________________________________

Date                                  Signature of the consumer(s) (only on printed form)


(*) Please delete where applicable.