Standard form for exercising the right of withdrawal:

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

До _______________________________________

I/we hereby give notice that we are withdrawing from the contract concluded by me/us for the purchase of the following goods .........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Ordered from/received at - .........................................................................................................

Username(s) - .............................................................................................................

Address of the user(s) - ...............................................................................................................

Signature of user(s): .......................................................

(only if this form is on paper)

Date: ...................................................