Withdrawal form

Typical withdrawal form in compliance with art.49,

clause 1, letter h) ex Leg. Dec. 206/2005

(fill-in and return this form only if it is intended to withdraw from the contract)

— Addressee (Le terre di zoè Società Agricola Semplice Via Cavour 22 89026 San Ferdinando (RC), by means of registered letter with return receipt advice (a.r.), or certified mail at address leterredizoe@pec.it of the decision to withdraw from this contract.

— I/We hereby (*) notify my/our withdrawal from the (*) sale contract of the following assets/services (*)

— Ordered on (*)/received on (*)

— Name of the consumer(s)

— Address of the consumer(s)

— Signature of the consumer(s) (only if this form is notified in hard-copy version)

— Date