{"id":11141,"date":"2024-04-30T10:57:12","date_gmt":"2024-04-30T08:57:12","guid":{"rendered":"https:\/\/www.portbase.com\/cancel-service\/"},"modified":"2026-08-05T14:57:51","modified_gmt":"2026-08-05T12:57:51","slug":"cancel-service","status":"publish","type":"page","link":"https:\/\/www.portbase.com\/en\/cancel-service\/","title":{"rendered":"cancel service"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:0\">\n<div class=\"wp-block-cover alignwide is-light has-dark-blue-color has-text-color has-link-color wp-elements-4212219902b05a56ef19039e7303c496\" style=\"min-height:45vh;aspect-ratio:unset;\"><img decoding=\"async\" width=\"1824\" height=\"869\" class=\"wp-block-cover__image-background wp-image-9542\" alt=\"\" src=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2.jpg\" style=\"object-position:48% 100%\" data-object-fit=\"cover\" data-object-position=\"48% 100%\" srcset=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2.jpg 1824w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-300x143.jpg 300w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-1024x488.jpg 1024w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-768x366.jpg 768w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/05\/Contact-2-1536x732.jpg 1536w\" sizes=\"(max-width: 1824px) 100vw, 1824px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-white-background-color has-background-dim-20 has-background-dim\"><\/span><div class=\"wp-block-cover__inner-container is-layout-constrained wp-container-core-cover-is-layout-f7fd573a wp-block-cover-is-layout-constrained\">\n<h1 class=\"wp-block-heading has-text-align-center alignwide\" style=\"margin-top:var(--wp--preset--spacing--90);margin-bottom:var(--wp--preset--spacing--90);font-size:clamp(25.984px, 1.624rem + ((1vw - 3.2px) * 1.408), 44px);\">We\u2019re sorry you want to cancel <br>your <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-orange-color\">service subscription <\/mark><\/h1>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-sowmedia-tabbladnavigatie alignfull\" id=\"sowmedia-tabnavigatie\">\n    <nav class=\"no-wrap is-fallback alignfull wp-block-navigation is-nowrap is-layout-flex wp-container-core-navigation-layout-1 wp-block-navigation-is-layout-flex\">\n        <ul class=\"wp-block-navigation__container  no-wrap is-fallback alignfull wp-block-navigation\"><li class=\"wp-block-navigation-item\" ><a href=\"https:\/\/www.portbase.com\/en\/contact\/\">Contact <\/a><\/li><li class=\"wp-block-navigation-item\" ><a href=\"https:\/\/www.portbase.com\/en\/change-details\/\">Change details<\/a><\/li><li class=\"wp-block-navigation-item current-menu-item\" >Cancel my service subscription<\/li><\/ul>    <\/nav>\n<\/div>\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-99fc4fa8 wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-461897f4 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-content-justification-left is-layout-constrained wp-container-core-column-is-layout-0e16cb5c wp-block-column-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-h-3-font-size\">Cancellation form<\/h2>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><form method='post' enctype='multipart\/form-data'  id='gform_12' class='pb-wijzigingsformulier' action='\/en\/wp-json\/wp\/v2\/pages\/11141' data-formid='12' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\">\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"73\" \/>\n\t\t\t\t\t\t<script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_12_9\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Enter your details below<\/h2><\/li><li id=\"field_12_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_1'><span class='gform-field-label__text'>Company name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_12_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_12\" class=\"gfield gfield--type-address gfield--input-type-address hide_required gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'><\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_12_12' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_12_1_container' >\n                                        <label for='input_12_12_1' id='input_12_12_1_label' class='gform-field-label gform-field-label--type-sub '>Address<\/label>\n                                        <input type='text' name='input_12.1' id='input_12_12_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_12_5_container' >\n                                    <label for='input_12_12_5' id='input_12_12_5_label' class='gform-field-label gform-field-label--type-sub '>Place \/ City<\/label>\n                                    <input type='text' name='input_12.5' id='input_12_12_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_right address_city ginput_address_city gform-grid-col' id='input_12_12_3_container' >\n                                    <label for='input_12_12_3' id='input_12_12_3_label' class='gform-field-label gform-field-label--type-sub '>Postal code \/ ZIP code<\/label>\n                                    <input type='text' name='input_12.3' id='input_12_12_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_12.4' id='input_12_12_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_12_12_6_container' >\n                                        <label for='input_12_12_6' id='input_12_12_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                        <select name='input_12.6' id='input_12_12_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_12_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_3'><span class='gform-field-label__text'>Contact person<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_12_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_13\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_13'><span class='gform-field-label__text'>Email address of contact person<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_13' id='input_12_13' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_12_17\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_17'><span class='gform-field-label__text'>Chamber of Commerce (CoC) number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_12_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_4\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_4'><span class='gform-field-label__text'>Cancellation date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_12_4'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_4'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_12_4' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_12_4' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_12_4' aria-label='Cancellation date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_12_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_20'><span class='gform-field-label__text'>How many service(s) do you want to cancel?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_12_20' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Make a choice<\/option><option value='All my services' >All my services<\/option><option value='One or multiple services' >One or multiple services<\/option><\/select><\/div><\/li><li id=\"field_12_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Services<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_10'><li class='gchoice gchoice_select_all'>\n\t\t\t\t\t\t<input class='gfield-choice-input' type='checkbox' id='choice_10_select_all'   onclick='gformToggleCheckboxes( this )' onkeypress='gformToggleCheckboxes( this )' \/>\n\t\t\t\t\t\t<label for='choice_10_select_all' id='label_10_select_all' class='gform-field-label  gform-field-label--type-inline' data-label-select='Select All' data-label-deselect='Deselect All'>Select All<\/label>\n\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Arrival Notification Export'  id='choice_12_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_1' id='label_12_10_1' class='gform-field-label gform-field-label--type-inline'>Arrival Notification Export<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Cargo Controller Import'  id='choice_12_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_2' id='label_12_10_2' class='gform-field-label gform-field-label--type-inline'>Cargo Controller Import<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Cargo Declaration Export'  id='choice_12_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_3' id='label_12_10_3' class='gform-field-label gform-field-label--type-inline'>Cargo Declaration Export<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Cargo Declaration Export Containers'  id='choice_12_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_4' id='label_12_10_4' class='gform-field-label gform-field-label--type-inline'>Cargo Declaration Export Containers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Cargo Declaration Import'  id='choice_12_10_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_5' id='label_12_10_5' class='gform-field-label gform-field-label--type-inline'>Cargo Declaration Import<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.6' type='checkbox'  value='Cargo Declaration Status Report'  id='choice_12_10_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_6' id='label_12_10_6' class='gform-field-label gform-field-label--type-inline'>Cargo Declaration Status Report<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.7' type='checkbox'  value='Cargo Release Manager'  id='choice_12_10_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_7' id='label_12_10_7' class='gform-field-label gform-field-label--type-inline'>Cargo Release Manager<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.8' type='checkbox'  value='Clearance Transit Export Containers'  id='choice_12_10_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_8' id='label_12_10_8' class='gform-field-label gform-field-label--type-inline'>Clearance Transit Export Containers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.9' type='checkbox'  value='Declaration Food and Consumer Products'  id='choice_12_10_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_9' id='label_12_10_9' class='gform-field-label gform-field-label--type-inline'>Declaration Food and Consumer Products<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.11' type='checkbox'  value='Differences List'  id='choice_12_10_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_11' id='label_12_10_11' class='gform-field-label gform-field-label--type-inline'>Differences List<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.12' type='checkbox'  value='Discharge Confirmation Report'  id='choice_12_10_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_12' id='label_12_10_12' class='gform-field-label gform-field-label--type-inline'>Discharge Confirmation Report<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.13' type='checkbox'  value='Discharge Information'  id='choice_12_10_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_13' id='label_12_10_13' class='gform-field-label gform-field-label--type-inline'>Discharge Information<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.14' type='checkbox'  value='Discharge List'  id='choice_12_10_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_14' id='label_12_10_14' class='gform-field-label gform-field-label--type-inline'>Discharge List<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.15' type='checkbox'  value='Hinterland Container Notification'  id='choice_12_10_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_15' id='label_12_10_15' class='gform-field-label gform-field-label--type-inline'>Hinterland Container Notification<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.16' type='checkbox'  value='Hinterland Container Notification Barge'  id='choice_12_10_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_16' id='label_12_10_16' class='gform-field-label gform-field-label--type-inline'>Hinterland Container Notification Barge<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.17' type='checkbox'  value='Hinterland Container Notification Rail'  id='choice_12_10_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_17' id='label_12_10_17' class='gform-field-label gform-field-label--type-inline'>Hinterland Container Notification Rail<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.18' type='checkbox'  value='Hinterland Container Notification Road'  id='choice_12_10_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_18' id='label_12_10_18' class='gform-field-label gform-field-label--type-inline'>Hinterland Container Notification Road<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.19' type='checkbox'  value='Import Status'  id='choice_12_10_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_19' id='label_12_10_19' class='gform-field-label gform-field-label--type-inline'>Import Status<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.21' type='checkbox'  value='Inland Port Dues'  id='choice_12_10_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_21' id='label_12_10_21' class='gform-field-label gform-field-label--type-inline'>Inland Port Dues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.22' type='checkbox'  value='Inspection Portal'  id='choice_12_10_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_22' id='label_12_10_22' class='gform-field-label gform-field-label--type-inline'>Inspection Portal<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.23' type='checkbox'  value='Notification Crew and Passengers'  id='choice_12_10_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_23' id='label_12_10_23' class='gform-field-label gform-field-label--type-inline'>Notification Crew and Passengers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.24' type='checkbox'  value='Notification Dangerous Goods'  id='choice_12_10_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_24' id='label_12_10_24' class='gform-field-label gform-field-label--type-inline'>Notification Dangerous Goods<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.25' type='checkbox'  value='Notification Export Documentation'  id='choice_12_10_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_25' id='label_12_10_25' class='gform-field-label gform-field-label--type-inline'>Notification Export Documentation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.26' type='checkbox'  value='Notification Import Documentation'  id='choice_12_10_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_26' id='label_12_10_26' class='gform-field-label gform-field-label--type-inline'>Notification Import Documentation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.27' type='checkbox'  value='Notification Ship&#039;s Stores'  id='choice_12_10_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_27' id='label_12_10_27' class='gform-field-label gform-field-label--type-inline'>Notification Ship&#8217;s Stores<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.28' type='checkbox'  value='Notification Waste Disposal'  id='choice_12_10_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_28' id='label_12_10_28' class='gform-field-label gform-field-label--type-inline'>Notification Waste Disposal<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.29' type='checkbox'  value='Notification of Arrival Export Containers'  id='choice_12_10_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_29' id='label_12_10_29' class='gform-field-label gform-field-label--type-inline'>Notification of Arrival Export Containers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.31' type='checkbox'  value='Pre-arrival Cargo Declaration Import (4h)'  id='choice_12_10_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_31' id='label_12_10_31' class='gform-field-label gform-field-label--type-inline'>Pre-arrival Cargo Declaration Import (4h)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.32' type='checkbox'  value='RTO Administration'  id='choice_12_10_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_32' id='label_12_10_32' class='gform-field-label gform-field-label--type-inline'>RTO Administration<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.33' type='checkbox'  value='Statement Harbour Dues Amsterdam'  id='choice_12_10_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_33' id='label_12_10_33' class='gform-field-label gform-field-label--type-inline'>Statement Harbour Dues Amsterdam<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.34' type='checkbox'  value='Track &amp; Trace Export'  id='choice_12_10_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_34' id='label_12_10_34' class='gform-field-label gform-field-label--type-inline'>Track &amp; Trace Export<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.35' type='checkbox'  value='Transhipment'  id='choice_12_10_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_35' id='label_12_10_35' class='gform-field-label gform-field-label--type-inline'>Transhipment<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.36' type='checkbox'  value='Transit Declaration'  id='choice_12_10_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_36' id='label_12_10_36' class='gform-field-label gform-field-label--type-inline'>Transit Declaration<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_37'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.37' type='checkbox'  value='Vessel Notification'  id='choice_12_10_37'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_37' id='label_12_10_37' class='gform-field-label gform-field-label--type-inline'>Vessel Notification<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.38' type='checkbox'  value='Vessel Visit API'  id='choice_12_10_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_38' id='label_12_10_38' class='gform-field-label gform-field-label--type-inline'>Vessel Visit API<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_39'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.39' type='checkbox'  value='Veterinary Inspection Process'  id='choice_12_10_39'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_39' id='label_12_10_39' class='gform-field-label gform-field-label--type-inline'>Veterinary Inspection Process<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_10_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.41' type='checkbox'  value='Other'  id='choice_12_10_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_10_41' id='label_12_10_41' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_6'><span class='gform-field-label__text'>Reason<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_12_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a reason<\/option><option value='No use of it' >No use of it<\/option><option value='No added value' >No added value<\/option><option value='Otherwise, namely:' >Otherwise, namely:<\/option><\/select><\/div><\/li><li id=\"field_12_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_12_16'><span class='gform-field-label__text'><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_12_16' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_12_21\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Signature<\/h2><\/li><li id=\"field_12_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_24'><span class='gform-field-label__text'>Name of the authorized representative<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_12_24' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_24\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_12_24'>List all names as indicated in the identification document<\/div><\/li><li id=\"field_12_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_22'><span class='gform-field-label__text'>Place<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_12_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_18\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_18'><span class='gform-field-label__text'>Date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/yyyy'\n\t\t\t\t\tid='input_12_18'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_18'\n\t\t\t\t\tvalue='10\/09\/2026'\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_12_18' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_12_18' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_12_18' aria-label='Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_12_15\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_15'><span class='gform-field-label__text'>Signature of authorized signatory listed on the Chamber of Commerce registration<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input type='hidden' value='' name='input_15' id='input_12_15_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_12_15_Container' class='gfield_signature_container ginput_container' style='height:180px; width:790px; ' ><canvas id='input_12_15' width='790' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/www.portbase.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_12_15_toolbar' style='margin:5px 0;position:relative;height:20px;width:790px;max-width:100%;'><img id = 'input_12_15_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_12_15_data' name='input_12_15_data' value=''><\/div><div class='gfield_description' id='gfield_description_12_15'>Place the cursor on the above field until it changes into a pen. Sign as you would on paper.<\/div><\/li><li id=\"field_12_19\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class='gform-field-label__text'>More information about how we use your personal data can be found in our\n  \n    Privacy Statement\n  .<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_19'><li class='gchoice gchoice_12_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='I give permission to Portbase to process my data'  id='choice_12_19_1'   aria-describedby=\"gfield_description_12_19\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_1' id='label_12_19_1' class='gform-field-label gform-field-label--type-inline'>I give permission to Portbase to process my data<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_12_19'><p>\n  More information about how we use your personal data can be found in our\n  <a href=\"https:\/\/www.portbase.com\/en\/privacy-statement\/\" target=\"_blank\" rel=\"noopener noreferrer\">\n    Privacy Statement\n  <\/a>.\n<\/p><\/div><\/li><li id=\"field_12_25\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_25'><span class='gform-field-label__text'>CAPTCHA<\/span><\/label><div id='input_12_25' class='ginput_container ginput_recaptcha' data-sitekey='6LdCfbgqAAAAABsQn-zVdZsQQogyoR47-d3gH43M'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <div class=\"wp-block-button\"><button type=\"submit\" id=\"gform_submit_button_12\" class=\"gform_button button wp-block-button__link\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\">Send<\/button><\/div> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_12' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_12' id='gform_theme_12' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_12' id='gform_style_settings_12' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_12' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='12' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='dl+r3ofu6MWPu3Q0oGfHTLR7BcV5ymOV0\/1dG5uzl4zs4p9zU4Upo2qGidCoK22SsorU2+UMCyG1umUYrYz1GasiWBLgC+zS3BnqW4sPxuPr3V8=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_12' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_12' id='gform_target_page_number_12' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_12' id='gform_source_page_number_12' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:395px\">\n<div class=\"wp-block-group has-border-color has-light-blue-border-color has-white-background-color has-background is-layout-constrained wp-container-core-group-is-layout-325eb6c2 wp-block-group-is-layout-constrained\" style=\"border-width:2px;padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Portbase<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Blaak 16<br>3011 TA Rotterdam<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-67e63833 wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/support.portbase.com\/hc\/en-gb\/requests\/new\" target=\"_blank\">\n    \n    <i class=\"icon-message\"><\/i>\n            <span>Ask your question<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.google.com\/maps\/place\/Portbase\/@51.9188123,4.4877861,15z\/data=!4m2!3m1!1s0x0:0x6b462be14c0ea74a?ved=2ahUKEwjq4bfp7pXgAhVRKBoKHfk6A-cQ_BIwDXoECAIQCA\" target=\"_blank\">\n    \n    <i class=\"icon-map\"><\/i>\n            <span>Plan your route<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.portbase.com\/en\/contact-3\/parking-at-portbase\/\" target=\"\">\n    \n    <i class=\"icon-square-parking\"><\/i>\n            <span>Parking at Portbase<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:+31886252525\" target=\"\">\n    \n    <i class=\"icon-phone\"><\/i>\n            <span>+31 88 6 25 25 25<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1988\" height=\"1152\" src=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route.jpg\" alt=\"\" class=\"wp-image-2024\" srcset=\"https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route.jpg 1988w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-300x174.jpg 300w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-1024x593.jpg 1024w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-768x445.jpg 768w, https:\/\/www.portbase.com\/wp-content\/uploads\/2024\/03\/portbase-route-1536x890.jpg 1536w\" sizes=\"(max-width: 1988px) 100vw, 1988px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-group has-border-color has-light-blue-border-color has-white-background-color has-background is-layout-constrained wp-container-core-group-is-layout-325eb6c2 wp-block-group-is-layout-constrained\" style=\"border-width:2px;padding-top:var(--wp--preset--spacing--40);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--40);padding-left:var(--wp--preset--spacing--40)\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">How can we help you?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If you would like assistance in person, you can contact us between 08:00 and 18:00 at:<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-67e63833 wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:+31886252525\" target=\"\">\n    \n    <i class=\"icon-phone\"><\/i>\n            <span>+31 88 6 25 25 25<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/support.portbase.com\/hc\/en-gb\/requests\/new\" target=\"_blank\">\n    \n    <i class=\"icon-message\"><\/i>\n            <span>Ask your question<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-layout-constrained wp-container-core-group-is-layout-9a793604 wp-block-group-is-layout-constrained\" style=\"padding-top:0;padding-bottom:0\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-461897f4 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-stretch has-light-blue-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-3ec1a6d9 wp-block-group-is-layout-flex\" style=\"min-height:100%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-e627be86 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Advice<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Advice about a service or system link.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-67e63833 wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:sales@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>sales@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.portbase.com\/en\/contact-3\/\" target=\"\">\n    \n    <i class=\"icon-regular-share-nodes-shield\"><\/i>\n            <span>or ask your question directly to sales<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\">Help with questions about service requests<\/p>\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:service.request@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>service.request@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:+31886252500\" target=\"\">\n    \n    <i class=\"icon-phone1\"><\/i>\n            <span>+31 88 6 25 25 00<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-stretch has-light-blue-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-3ec1a6d9 wp-block-group-is-layout-flex\" style=\"min-height:100%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-e627be86 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Support<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Help with questions about accounts or the use of services.<\/p>\n\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-9760934e\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-67e63833 wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/support.portbase.com\/hc\/en-gb\" target=\"_blank\">\n    \n    <i class=\"icon-circle-info\"><\/i>\n            <span>Quickly find an answer to your question<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/support.portbase.com\/hc\/en-gb\/requests\/new\" target=\"_blank\">\n    \n    <i class=\"icon-message\"><\/i>\n            <span>Ask your question<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"tel:+31886252525\" target=\"\">\n    \n    <i class=\"icon-phone1\"><\/i>\n            <span>+31 88 6 25 25 25<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/status.portbase.com\/\" target=\"_blank\">\n    \n    <i class=\"icon-check-circle\"><\/i>\n            <span>System status and disruptions<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-stretch has-light-blue-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-3ec1a6d9 wp-block-group-is-layout-flex\" style=\"min-height:100%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-e627be86 wp-block-group-is-layout-flex\">\n<h3 class=\"wp-block-heading has-h-4-font-size\">Invoicing<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Help with questions about invoices or payments.<br><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-67e63833 wp-block-group-is-layout-flex\">\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"https:\/\/www.portbase.com\/en\/community-solutions\/costs\/\" target=\"\">\n    \n    <i class=\"icon-globe1\"><\/i>\n            <span>More information about invoicing<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n\n\n\n<div class=\"align wp-block-sowmedia-icon\">\n\n            <a href=\"mailto:finance@portbase.com\" target=\"\">\n    \n    <i class=\"icon-envelope\"><\/i>\n            <span>finance@portbase.com<\/span>\n    \n            <\/a>\n    \n<\/div>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Complete the cancellation form to terminate your service(s) with Portbase.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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