Withdrawal declaration*

Addressee: Life Protector Ltd. (address: 1171 Budapest, Postakocsi utca 65., e-mail: info@aw-sport.hu)

I, the undersigned, declare that I exercise my right of withdrawal/cancellation in respect of the contract for the purchase of the following Good(s) or the provision of the following service:

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Date of conclusion of contract / date of receipt: ......................................................................................................................

Name of the consumer: ...................................................................................................................................................................

Address of the consumer: ...................................................................................................................................................................

The purchase price should be returned to the following bank account (please fill in if you would like to receive a bank transfer):

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Signature of the consumer: (only in case of paper declaration)

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Celt.

* made on the basis of the model declaration in accordance with Annex 2 of Government Decree 45/2014 (26.II.26.)