DEMAND FOR ARBITRATION  
Please provide the following information in connection with your dispute with HitAGift™ (“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:  
HitAGift™  
E-mail Address of Responding Party: hit.a.gift.service@gmail.com  
The Initiating Party previously agreed to the HitAGift™ Mobile App End-User License Agreement (“EULA”).  
The EULA contains 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”), the Judicial Arbitration and Mediation Services, Inc. (“JAMS”) or  
another reputable arbitration provider, 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)