{"id":292,"date":"2026-08-03T13:26:32","date_gmt":"2026-08-03T13:26:32","guid":{"rendered":"https:\/\/unscribo.sly-1.nl\/?page_id=292"},"modified":"2026-08-03T13:27:01","modified_gmt":"2026-08-03T13:27:01","slug":"form","status":"publish","type":"page","link":"https:\/\/unscribo.167mail.nl\/unsubscribe\/form\/","title":{"rendered":"form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"292\" class=\"elementor elementor-292\">\n\t\t\t\t<div class=\"elementor-element elementor-element-00815a5 e-flex e-con-boxed e-con e-parent\" data-id=\"00815a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-83ae2c5 elementor-widget elementor-widget-shortcode\" data-id=\"83ae2c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">    <div class=\"clg-wrapper\">\n        <div class=\"clg-container\">\n            <div class=\"clg-form-section pt-order-review-wrapper\">\n                <!-- Generator Form (Visual Only, data syncs to Checkout) -->\n                <div id=\"clg-generator-form\">\n                    <h2>Your information<\/h2>\n                    <div class=\"form-group\">\n                        <label for=\"fullName\">First and Last Name<\/label>\n                        <input type=\"text\" id=\"fullName\" name=\"fullName\" placeholder=\"First and Last Name\">\n                    <\/div>\n                    <div class=\"form-group\">\n                        <label for=\"address1\">Address line 1<\/label>\n                        <input type=\"text\" id=\"address1\" name=\"address1\" placeholder=\"Street address\">\n                    <\/div>\n                    <div class=\"form-group\">\n                        <label for=\"address2\">Apartment \/ unit \/ suite (Optional)<\/label>\n                        <input type=\"text\" id=\"address2\" name=\"address2\">\n                    <\/div>\n                    <div class=\"form-row\">\n                        <div class=\"form-group\">\n                            <label for=\"city\">City<\/label>\n                            <input type=\"text\" id=\"city\" name=\"city\" placeholder=\"City\">\n                        <\/div>\n                        <div class=\"form-group\">\n                            <label for=\"state\">State<\/label>\n                            <input type=\"text\" id=\"state\" name=\"state\" placeholder=\"State\">\n                        <\/div>\n                        <div class=\"form-group\">\n                            <label for=\"zipCode\">ZIP code<\/label>\n                            <input type=\"text\" id=\"zipCode\" name=\"zipCode\" placeholder=\"ZIP code\">\n                        <\/div>\n                    <\/div>\n                    <div class=\"form-group\">\n                        <label for=\"email\">Your subscription email<\/label>\n                        <input type=\"email\" id=\"email\" name=\"email\">\n                    <\/div>\n\n                    <div class=\"form-group\">\n                        <label for=\"reason\">Reason for cancellation (Optional field)<\/label>\n                        <textarea id=\"reason\" name=\"reason\" rows=\"4\"><\/textarea>\n                    <\/div>\n                    \n                    <h3>When do you wish to cancel?<\/h3>\n                    <div class=\"radio-group\">\n                        <label><input type=\"radio\" name=\"cancelDate\" value=\"asap\" checked> As soon as possible<\/label>\n                        <label><input type=\"radio\" name=\"cancelDate\" value=\"date\"> Choose a date<\/label>\n                    <\/div>\n                    <div class=\"form-group clg-date-picker\" hidden>\n                        <label for=\"cancelDateCustom\">Cancellation date<\/label>\n                        <div class=\"clg-date-input-wrap\">\n                            <input type=\"text\" id=\"cancelDateCustomDisplay\" inputmode=\"none\" placeholder=\"mm\/dd\/yyyy\" readonly>\n                            <span class=\"clg-date-icon\" aria-hidden=\"true\"><\/span>\n                        <\/div>\n                        <input type=\"hidden\" id=\"cancelDateCustom\" name=\"cancelDateCustom\">\n                        <div id=\"clg-date-calendar\" class=\"clg-date-calendar\" hidden><\/div>\n                    <\/div>\n                <\/div>\n\n                <!-- WooCommerce Checkout (Moved to Left Column) -->\n                <div class=\"clg-checkout-section\">\n                    <h3>Complete your cancellation<\/h3>\n                    <div class=\"woocommerce\"><\/div>                <\/div>\n            <\/div>\n\n            <div class=\"clg-preview-section\">\n                <div class=\"clg-preview-tabs-container\">\n                    <div class=\"clg-preview-tabs\" id=\"clg-letter-tabs\">\n                        <!-- Tabs will be injected here by JS -->\n                    <\/div>\n                    <button type=\"button\" class=\"clg-add-tab-btn\" id=\"clg-open-modal\"><span aria-hidden=\"true\">+<\/span> Add more<\/button>\n                <\/div>\n\n                <div class=\"clg-letter-header\">\n                    <h2 id=\"previewCompanyNameHeader\">Company Name<\/h2>\n                <\/div>\n                \n                <button id=\"downloadPdfBtn\" class=\"clg-download-btn\" title=\"Download as PDF\">\n                    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\">\n                        <path d=\"M21 15v4a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2v-4\"><\/path>\n                        <polyline points=\"7 10 12 15 17 10\"><\/polyline>\n                        <line x1=\"12\" y1=\"15\" x2=\"12\" y2=\"3\"><\/line>\n                    <\/svg>\n                <\/button>\n\n                <div class=\"clg-letter-content\" id=\"letterContent\">\n                    <div class=\"clg-recipient-address\" id=\"previewRecipientAddress\">\n                        [Company Address]\n                    <\/div>\n                    \n                    <div class=\"clg-date\">\n                        <span id=\"previewCity\">[City]<\/span>, <span id=\"previewDate\"><\/span>\n                    <\/div>\n                    \n                    <div class=\"clg-subject\">\n                        Subject: Contract cancellation <span id=\"previewSubjectCompany\">[Company]<\/span>\n                    <\/div>\n                    \n                    <div class=\"clg-salutation\">\n                        Madam, Sir,\n                    <\/div>\n                    \n                    <div class=\"clg-body\">\n                        <p>Through this letter I would like to request you to terminate my current membership. I kindly request you to cancel my membership as soon as possible, from today's date, subject to any mandatory notice period.<\/p>\n                        \n                        <p>To ensure that the cancellation is processed correctly, here is a summary of my data:<\/p>\n                        \n                        <div class=\"clg-summary\">\n                            <div class=\"summary-row\"><strong>First and Last Name:<\/strong> <span id=\"previewName\">[First and Last Name]<\/span><\/div>\n                            <div class=\"summary-row\"><strong>Address line 1:<\/strong> <span id=\"previewAddress1\">[Address line 1]<\/span><\/div>\n                            <div class=\"summary-row\"><strong>City:<\/strong> <span id=\"previewCity2\">[City]<\/span><\/div>\n                            <div class=\"summary-row\"><strong>State:<\/strong> <span id=\"previewState\">[State]<\/span><\/div>\n                            <div class=\"summary-row\"><strong>ZIP code:<\/strong> <span id=\"previewZip\">[ZIP code]<\/span><\/div>\n                            <div class=\"summary-row\"><strong>E-mail:<\/strong> <span id=\"previewEmail\">[E-mail]<\/span><\/div>\n                        <\/div>\n                        \n                        <p>I request you to respect the agreement until the cancellation date and to remove any of my known payment methods.<\/p>\n                        <p>Furthermore, I request, in accordance with the provisions of the California Consumer Privacy Act (CCPA), immediate deletion of all my personal data as defined under the CCPA, except as provided in Section 1798.105 CCPA.<\/p>\n                        <p>I would like to receive a confirmation of the cancellation. Please send this confirmation by e-mail to the address indicated above.<\/p>\n                        \n                        <p>Sincerely,<\/p>\n                        \n                        <div class=\"clg-signature\" id=\"previewSignature\">\n                            [First and Last Name]\n                        <\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <!-- Add Company Modal -->\n    <div id=\"clg-company-modal\" class=\"clg-modal\">\n        <div class=\"clg-modal-content\">\n            <div class=\"clg-modal-header\">\n                <h2>Cancel multiple services?<\/h2>\n                <p>You can cancel up to 6 services at the same time.<\/p>\n                <span class=\"clg-close-modal\">&times;<\/span>\n            <\/div>\n            <div class=\"clg-modal-search\">\n                <div class=\"clg-modal-search-wrapper\">\n                    <svg viewBox=\"0 0 24 24\" width=\"18\" height=\"18\" stroke=\"currentColor\" stroke-width=\"2\" fill=\"none\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"11\" cy=\"11\" r=\"8\"><\/circle><line x1=\"21\" y1=\"21\" x2=\"16.65\" y2=\"16.65\"><\/line><\/svg>\n                    <input type=\"text\" id=\"clg-modal-search-input\" placeholder=\"Search companies\">\n                <\/div>\n            <\/div>\n            <div class=\"clg-modal-body\">\n                <div class=\"clg-modal-categories\" id=\"clg-modal-companies-grid\">\n                    <!-- Categories and companies injected by JS -->\n                <\/div>\n            <\/div>\n            <div class=\"clg-modal-footer\">\n                <div class=\"clg-selected-info\">\n                    <strong>Selected Companies<\/strong>\n                    <div id=\"clg-modal-selected-list\" class=\"clg-modal-selected-chips\"><\/div>\n                <\/div>\n                <button type=\"button\" id=\"clg-modal-add-btn\" class=\"clg-modal-primary-btn\">Add<\/button>\n            <\/div>\n        <\/div>\n    <\/div>\n    <\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-292","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/pages\/292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/comments?post=292"}],"version-history":[{"count":3,"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/pages\/292\/revisions"}],"predecessor-version":[{"id":295,"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/pages\/292\/revisions\/295"}],"wp:attachment":[{"href":"https:\/\/unscribo.167mail.nl\/unsubscribe\/wp-json\/wp\/v2\/media?parent=292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}