Model withdrawal form — EU Directive 2011/83/EU, Annex I(B)

To: CivilShop — TopoGeos Hellas
Rafina, Greece
Email: info@topogeos.eu

I/We hereby give notice that I/we withdraw from my/our contract of sale of the following goods:

Order number / Αριθμός παραγγελίας / Номер на поръчка:

Description of goods / Περιγραφή προϊόντων / Описание на стоките:

Consumer details / Στοιχεία καταναλωτή / Данни на потребителя

Address / Διεύθυνση / Адрес:

Signature (only if on paper) / Υπογραφή / Подпис:

Send this form by email to info@topogeos.eu or by post to the address above. You may use any other clear written statement to communicate your decision to withdraw within 14 days from delivery.