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Model Withdrawal Form

Model Withdrawal Form

(Complete and return this form only if you wish to withdraw from a contract with Tanki Online Ltd.)

 

To:

Tanki Online Europe Ltd

60/2 Melita Street

Valletta VLT 1122

Malta

 

e-mail: help@tankionline.com

fax: +356 2205 6200

 

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

 

Ordered on:

 

Name of consumer:

 

Address of consumer:

 

Signature of consumer (only if this form is notified on paper):

 

Date of filling:

 

To help us identify your payments, please also provide the following information:

 

Tanki Online User Name of consumer:

 

Consumer’s Account Password:

 

E-mail address of consumer: