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Company Entity

Maut & Vignette B.V.

Trading as: Evignettehungary.com Utrechtseweg 1-G 3811 NA Amersfoort Netherlands

Registration

Chamber of Commerce (KvK): 85804363

VAT: NL863747814B01

Headquarters

Utrechtseweg 1-G

3821 AB Amersfoort, Netherlands

Contact

Phone: +31 (0) 85 303 39 23 Available: 7 days a week, 04:00–01:00 CET Help Centre: Support Portal

WhatsApp: +31 85 303 39 23

Withdrawal Form

(Complete and return this form only if you wish to withdraw from the contract.)

To:

Maut & Vignette B.V., Utrechtseweg 1-G, 3821 AB Amersfoort, Netherlands

Or via: Help Centre at Evignettehungary.com/help

I hereby give notice that I withdraw from my contract for:

Order number

Enter your order ID...

Service

Service: Hungarian motorway e-vignette

Ordered on

DD/MM/YYYY

Customer address:

Your full name...

Signature (if on paper):

Your full postal address...

Signature (paper form only)

Date