Consumer form

Model Withdrawal Form

Last updated August 13, 2026. For account, access, or policy questions, contact support.

Complete and send this form only if you have a withdrawal right that remains available. You may instead send any other clear withdrawal statement. This form does not create a right that has lawfully ended after expressly requested immediate digital supply.

Send to

AGENTIC SYSTEMS S.R.L.
Bulevardul Pipera nr. 84D, Voluntari, Ilfov, Romania
Email: support@agenticautomationacademy.com

Withdrawal statement

I hereby give notice that I withdraw from my contract for the purchase of Agentic AI Automation Academy digital course access, to the extent that a statutory withdrawal right remains available.

Account email: ______________________________________________

Order or payment reference, if available: ______________________

Order date: _________________________________________________

Consumer name: _____________________________________________

Consumer address: __________________________________________

Date: ______________________________________________________

Signature, only if submitted on paper: _________________________

Privacy and payment safety

Do not include a full card number, card security code, password, or authentication token. We use the account email and Stripe order reference to locate the purchase.


Academy operator

AGENTIC SYSTEMS S.R.L.
Bulevardul Pipera nr. 84D, Voluntari, Ilfov, Romania
Trade register: J2026041331006
Tax identification number (CUI): 55009198
EUID: ROONRC.J2026041331006
Contact: support@agenticautomationacademy.com