MODEL WITHDRAWAL FORM

If you wish to withdraw from the contract, you may complete and return this form. Use of this form is not mandatory.

To:
Suintex GmbH
Moselstraße 4a
64625 Bensheim
Germany
Email: support@narmimon.com

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

Ordered on () / received on ():

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s)
(only if this form is submitted on paper):

Date:

(*) Delete as appropriate.