Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract. You can also use the Withdraw from purchase button in the control panel.

To: 3XAYA LTD, 128 City Road, London, EC1V 2NX, United Kingdom · support@sitewig.com

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract for the provision of the following service (*):

Ordered on (*): ______________________________
Name of consumer(s): ______________________________
Address of consumer(s): ______________________________
Customer number or order number: ______________________________
Signature of consumer(s) (only if this form is notified on paper): ______________________________
Date: ______________________________

(*) Delete as appropriate.

Send to support@sitewig.com