Cancellation Form - Revolut Mobile (provided by Gigs) and Gigs eSIM Data Plans through Revolut app

Right of Withdrawal – Cancellation Form

[Complete and return this form only if you wish to cancel the contract.

How to complete the form – please print and complete, or copy, paste and complete this form for sending by email to support@ravolut.com, or send us the requested information via the Revolut support chat on the Revolut app.]

If you wish to cancel your mobile service contract within the statutory 14-day cooling-off period, please complete this form and return it to us by email or post.

To: Gigs, c/o Revolut Ltd.

I, the Customer indicated below, hereby give notice that I withdraw from my contract for the provision of _________________________________ mobile services ordered on _____________ , under the Consumer Contracts (Information, Cancellation and Additional Charges) Regulations 2013.

Customer Name: __________________________________________________________

Mobile Number (if applicable): ___________________________________________________________

E-mail used to purchase the service: __________________________________

Date service was received: _____________________________________________________

Date this form is being submitted: ____________________________________________

Customer Signature (only if this form is submitted by post):

Date: