VERIZON MEDIA EMEA PAID SERVICES CANCELLATION FORM

This form is for use by customers who wish to cancel a subscription for a paid for service within 14 days of the contract start date. 

Please complete, print and return the signed form below to the following address: 

Customer Care
Verizon Media EMEA Limited
5-7 Point Square
North Wall Quay
Dublin 1
Ireland

I, _______________________________________, hereby give notice that I wish to withdraw from my contract of sale for provision of the following service:   __________________ (include name of paid for service) ​

My Details:

Customer Name:    __________________________________________________

Customer Postal Address: _________________________________________________

Email Address:   ____________________________________________________

Order Number (if supplied): ____________________  

Signature: _________________________

Date: ____________________________

We will respond to you over email using the email address you provided. Please be advised we can only respond to you in English.