EU Model Withdrawal Form

Complete and return this form only if you wish to withdraw from the contract.

Field Details
To: East Digi Net Platform
Email: service@eastsupplier.com
I/We withdraw from the contract for: ___________________________
Ordered on: ___________________________
Received on: ___________________________
Name of consumer(s): ___________________________
Address of consumer(s): ___________________________
Signature of consumer(s): ___________________________
Date: ___________________________

Email completed form to service@eastsupplier.com. Use of this form is optional — any clear written statement is sufficient.