MODEL WITHDRAWAL FORM: ATLAS

Send to: contact@atlas-memories.com

I hereby give notice that I withdraw from the following Atlas subscription contract:
- First name and surname:
- Atlas account email address:
- Plan subscribed to:
- Subscription date:
- Order or payment reference, if available:
- Request date:

Name:

This template is provided as an additional channel. Before commercial launch, Atlas must also offer an online withdrawal function that is directly and easily accessible throughout the statutory period.