Model Withdrawal Form

In accordance with Annex 2 of the Polish Consumer Rights Act of 30 May 2014

To:

IMEGA Yasniel Diaz Marrero
ul. Smolna 14
44-200 Rybnik, Poland
E-mail: [email protected]

I/We(*) hereby inform you of my/our(*) withdrawal from the contract of sale of the following goods(*)/ contract for the delivery of the following goods(*)/ contract for the provision of the following service(*):

Item(s) ordered

e.g. DJI Matrice 4T, EcoFlow Delta 2 Max...

Order number

Date of contract(*) / receipt(*)

Consumer name(s)

Consumer address

Bank account for refund

optional — helps speed up the refund

Consumer signature(s)

(only if this form is sent in paper form)

Date

(*) Delete as appropriate.

Complete and return this form only if you wish to withdraw from the contract. The withdrawal statement may be made in any form — this form is only a template to facilitate the procedure.