Title *

Last name *

First name *

E-mail address *

Phone

Position in the company

Name of the company *

Street & house number *

ZIP code *

City *

Country *

Reason for deciding to be excluded *

I am authorised to act on behalf of the company indicated by me, and I confirm that I have provided all information correctly and completely.

Note *

I have been informed that, as a result of this deregistration, all participants' accounts of the indicated company will be blocked, their points will expire

Exclusion of company

To exclude your company and your employees from the SATA Loyalty Program, please fill out the following form.