Right of withdrawal form

(you should only complete and return this form if you wish to terminate the contract)

To: 4 Rumos, Sociedade Unipessoal, Lda, Tax ID 507859642, with its registered office at Rua Teixeira Gomes, Lt 18 cv/B, 8600-587 Lagos · geral@naturaldogbarf.pt

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

Requested on (*) / received on (*):

Name of the consumer(s):

Address of the consumer(s):

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

Date:

(*) Cross out what does not apply.