Model withdrawal form

ANNEX: MODEL WITHDRAWAL FORM

Pursuant to Article 134 of the Slovenian Consumer Protection Act (ZVPot-1)

Complete and return this form only if you wish to withdraw from a distance contract.

This form does not apply to customised goods (e.g. keyboards with bespoke imprinting), for which the right of withdrawal is excluded under Article 135(2) ZVPot-1.

Addressee (Provider): TIPRO Ltd., Ljubljanska cesta 64, 1290 Grosuplje, Slovenia

E-mail: keyboardshop@tipro.si

Telephone: +386 1 7888 231

I/We () hereby give notice that I/We () withdraw from the contract of sale for the following goods:

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Order/invoice number: ______________________________

Date of order () / date of receipt (): ______________________________

Name of consumer(s): ______________________________

Address of consumer(s): ______________________________

E-mail: ______________________________

Bank account (IBAN) for refund: ______________________________

Date: ______________________________

Signature of consumer(s) (only if this form is sent on paper): ______________________________