EESCLUSIVE — NOTICE OF WITHDRAWAL

To: Eccellenze Esclusive S.r.l., Via Ravarino-Carpi 165, 41030 Bomporto (MO), Italy.
Email: support@eccellenzesclusive.com

I hereby give notice that I withdraw from my contract of sale of the following goods:

Goods and quantities:
Order / contract reference:
Ordered on / received on:
Consumer name:
Consumer address:
Email for acknowledgment of receipt:
Date:
Signature (only for notice on paper):

This template is optional; another explicit withdrawal statement is sufficient. No reason is required.