HABITOAGlobal Discovery Platform

HABITOA

Model Withdrawal Form

For consumer contract withdrawal pursuant to EU Consumer Rights Directives

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Instructions

Complete and return this form only if you wish to withdraw from a digital service subscription contract on habitao.com within the statutory 14-day period.

To (Operator)

3D print FX s. r. o.

Dubová ulica 652/18, 919 30 Jaslovské Bohunice, Slovak Republic

Contact Email: info@habitao.com

Notice of withdrawal

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

Service / Package Plan Name: ______________________________

Order / Account Registration Date: ______________________________

Consumer Name(s): ______________________________

Registered Account Email on habitao.com: ______________________________

Consumer Address: ______________________________

Date: _____________________ Consumer Signature: _____________________

(*) Delete as appropriate.

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