Withdrawal Form

This form may be used by a Consumer to withdraw from an eligible distance contract. Use of this exact form is not mandatory.

To: TalkNative / Fundacja Rozwoju Przedsiębiorczości “Twój StartUp”

Email: office@talknative.pl

I hereby give notice that I withdraw from my contract for the following Service:

Service: ______________________________________________

Date of order / contract: _________________________________

Name of Consumer: ______________________________________

Address or email of Consumer: _____________________________

Date: __________________________________________________

Signature (only if submitted on paper): ______________________