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: TECTOPI NIGERIA VENTURES B10 , AH&M Plaza Main Market Road, Herwagana Gombe, Gombe State. Jiri Brothers Street Pantami Gombe Name * Email address * Goods or service being withdrawn * Address Order or contract reference Order date Additional message Leave this field empty Send withdrawal request Share this: Share on Facebook (Opens in new window) Facebook Share on X (Opens in new window) X