Model withdrawal form

(complete and return this form only if you wish to withdraw from the contract)

To Biolab•Pet, Via Casa Sicignano, 42, 80054 Sant'Antonio Abate, webmaster@biolab-srl.com:

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods / for the provision of the following service:

• Ordered on / received on:
• Name of consumer(s):
• Address of consumer(s):
• Signature of consumer(s) (only if this form is notified on paper):
• Date: