DRAFT — pending legal review. Not a final legal document. This document is missing legally required trader identification.
Complete and return this form only if you wish to withdraw from your contract. You are not obliged to use this form — any unequivocal statement of your decision is enough, and you can also cancel directly from your dashboard settings.
Send to
- Company: [PLACEHOLDER — registered company name + legal form]
- Registered office: [PLACEHOLDER — registered office, full postal address]
- Company register: [PLACEHOLDER — Registro delle Imprese office + REA number]
- VAT number: [PLACEHOLDER — P. IVA]
- Share capital: [PLACEHOLDER — share capital, if the legal form requires it]
By email: legal@safeguardmdm.com
Form
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / for the provision of the following service (*):
Ordered on (*) / received on (*):
Name of consumer(s):
Address of consumer(s):
Signature of consumer(s) (only if this form is notified on paper):
Date:
(*) Delete as appropriate.
What happens next
- We acknowledge receipt without undue delay
- Any refund due is made using the same means of payment you used, unless you agree otherwise, and never at a cost to you
- If you asked us to begin supplying the service during the withdrawal period, you may owe an amount proportionate to what was supplied before you withdrew
- The conditions and time limits that apply to your withdrawal are set out in the Terms of Service