Template Cancellation Form - RevPoints

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

To Revolut Ltd at 30 South Colonnade, London, E14 5HX, United Kingdom

I, the Customer indicated below, hereby give notice that I want to cancel my RevPoints contract entered into on

_____________________________.

Name of Customer(s) _______________________________________________

E-mail registered to Revolut account ____________________________

Date: ____________________________