Model withdrawal form

Complete and send this form only if you wish to withdraw from the contract. It is optional: you may use the online function or another explicit statement.

To: QUADRI S.r.l., Via Gozzano snc, 04012 Cisterna di Latina (LT), Italy — customercare@quadrisrl.com.

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale for the following goods:

________________________________________________________________

Order number or reference: _____________________________________

Ordered on (*) / received on (*): _________________________________

Name of Consumer(s): __________________________________________

Address of Consumer(s): ________________________________________

Signature of Consumer(s) (only if submitted on paper): ______________

Date: _________________________________________________________

(*) Delete as appropriate.