Typical withdrawal form in compliance with art.49,

clause 1, letter h) ex Leg. Dec. 206/2005

(fill-in and return this form only if it is intended to withdraw from the contract)

— Addressee (Servetto S.r.l. with registered office at 32 Via Brughetti, Bovisio Masciago (MB), by means of registered letter with return receipt advice (a.r.), or certified mail at address servetto@pec.it of the decision to withdraw from this contract.

— I/We hereby (*) notify my/our withdrawal from the (*) sale contract of the following assets/services (*)

— Ordered on (*)/received on (*)

— Name of the consumer(s)

— Address of the consumer(s)

— Signature of the consumer(s) (only if this form is notified in hard-copy version)

— Date