Model Withdrawal Form

AA AVANEST LTD · HE 493156 · 20 Charalampou Mouskou, ABC Business Center, 1st Floor, Flat/Office 106, 8010 Paphos, Cyprus

To

AA AVANEST LTD
20 Charalampou Mouskou, ABC Business Center, 1st Floor, Flat/Office 106, 8010 Paphos, Cyprus
Email: info@avanestcy.com

Notice of withdrawal

I hereby give notice that I withdraw from my contract for the provision of the following service:

Description of service: ____________________________________________

Request reference: _________________________________________________

Date the Service Proposal was accepted: ______________________________

Consumer’s full name: ______________________________________________

Consumer’s address: ________________________________________________

Email: _____________________________________________________________

Date: ______________________________________________________________

Signature, only if sent on paper: ____________________________________

This is a model form. A consumer may communicate the decision to withdraw by any other clear statement. The statutory withdrawal period for a distance service contract is generally 14 days from conclusion of the contract, subject to applicable conditions and exceptions.