— 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 email@example.com 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)