MODEL WITHDRAWAL FORM — VALENZA Complete and send this form only if you wish to withdraw from your contract. You may use email or post. Giving a reason is not required. To: Custom carbon studio s. r. o. Čičmany 264, 013 15 Čičmany, Slovakia Email: valenza@valenza.sk Customer telephone: +421 950 707 860 I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods: Goods: Order number or another reference identifying the purchase: Ordered on: Received on: Name of consumer(s): Address of consumer(s): Email for correspondence (optional): Date: Signature of consumer(s) (only if sent on paper): Delete as appropriate. This form is optional; any clear withdrawal statement may be used. See https://valenza.sk/terms#withdrawal for the applicable procedure and time limits.