Withdrawal Form - Similar To a Letter

MJOB s.r.l. 

C.F. e P. Iva: 1726615100

Piazza Buenos Aires, n. 5, 

Roma (RM), 00198

E-mail: [email protected]

Pec: [email protected].

OBJECT: WITHDRAWAL DECLARATION

With this letter the undersigned Mr./Mrs ________________________________________ declares the intention to withdraw from the service supply contract for the service MygenME, Order Number____________________________.

Date ___/___/___________