Withdrawal Withdrawal form Complete and submit this form only if you wish to withdraw from your contract. Required fields are marked with an asterisk (*). To: JAIN LAW ASSOCIATES 127, 1ST FLOOR, GD ITL NORTH-EX TOWERS, A-09, NETAJI SUBHASH PLACE, DELHI-110034 Name * Email address * Goods or service being withdrawn * Address Order or contract reference Order date Additional message Leave this field empty Send withdrawal request