Model withdrawal form

To: Vitalii Bartashchuk / Step Swap, Za vodou 161/2, 032 03 Liptovský Ján, Slovak Republic — info@vaet.sk

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

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

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s) (only if sent on paper):

Date:

(*) Delete as appropriate.