Cancellation form

Please fill in and return this form only if you wish to cancel the agreement.

For the attention of: NATIVE CONSULTING Address: 15 Avenue Georges Clémenceau, 06000 Nice, France Telephone: +33 7 44 09 76 33 Email address : contact@native-spaces.com

I hereby notify you that I wish to cancel from the service agreement provided by NATIVE CONSULTING.

Joined the platform http://native-spaces.com on ____________

Customer’s name: ___________________ Customer’s address: __________________

Customer’s Signature: __________________ (only if a hard copy of this form is sent)

Date: __________________