Online withdrawal request
Consumers can directly and unequivocally submit their withdrawal here without an account during the normally applicable statutory 14-day cooling-off period. This form does not calculate or issue a refund.
EU model withdrawal form
Complete and return this form only if you wish to withdraw from the contract. You may instead use the direct online form above.
To: [Counsel review required: legal entity name], [Counsel review required: registered business address], [Counsel review required: support email]
I hereby give notice that I withdraw from my contract for the supply of the following service: ____________________
Contract or transaction reference (if known): ____________________
Ordered on / received on: ____________________
Consumer name: ____________________
Consumer address: ____________________
Consumer signature (only if this form is submitted on paper): ____________________
Date: ____________________