NOCTURNAL PASS — MEMBERSHIP CANCELLATION FORM
Use this form only if you wish to cancel a membership purchase. You may also write in your own words.

To: Davide Florio trading as 1Prestige1
38A Werter Road, London SW15 2LJ, United Kingdom
Email: info.nocturnalpass@gmail.com

I give notice that I cancel my contract for the following membership:
Membership:
Purchase date:
Account email:
Payment reference (if available):
Customer name:
Customer address:
Date:
Signature (only if sent on paper):

Do not include card details, a password, recovery codes or identity documents.
Sending this form requests purchase cancellation and a refund; it does not close your community account.