STATEMENT OF WITHDRAWAL

Disclaimer/Termination Statement

(fill in and return only in case of intention to withdraw/terminate the contract)

To: Magnew Kft.

(address: 1141 Budapest, Öv utca 35-37, e-mail: store@djiars.hu)

I/we, the undersigned, declare that I/we exercise my/our right of withdrawal/termination with respect to the contract for the sale of the following product/s or the provision of the following service [1] :

Date of receipt:

Name of the consumer(s):

Address of the consumer(s):

Please transfer the purchase price to the following bank account number:

Signature of the consumer(s) (only in the case of a statement made on paper):

dated:

1 Here it is necessary to indicate the product or service that is the subject of the contract.