Template Withdrawal Form - RevPoints

Complete and return this form only if you wish to withdraw from the contract. Please print and complete, or copy, paste and complete this form for sending the requested information via the Revolut Support chat in the Revolut App.

I, the Customer indicated below, hereby withdraw from the RevPoints contract for participating in RevPoints loyalty programme entered into on _________________________.

Name of the Customer ___________________________________________

E-mail registered to Revolut account ____________________________

Date: ____________________________