Standard form for exercising the right of withdrawal

Annex 1 of the GENERAL CONDITIONS OF SALE, INFORMATION FOR THE CONSUMER,

WITHDRAWAL AND RETURNS, COMPLAINTS AND LEGAL GUARANTEE OF CONFORMITY

STANDARD FORM FOR THE EXERCISE OF THE RIGHT OF WITHDRAWAL

- pursuant to art. 49, paragraph 1, letter h) of the Consumer Code -

Dear ICAM Spa

with registered office in Via Pescatori n. 53 – Lecco, registered with the Chamber of Commerce of Lecco with number LC-58425, tax code and VAT number 00205080138

I hereby notify the withdrawal from my contract of sale of the following goods:

Order No.______ordered on __/__/____ and received on __/__/____
Name of the person who placed the order: ____________________
Order shipping address: ______________________________________

DATE __/__/____

SIGNATURE __________________________