MODEL WITHDRAWAL FORM To: ThinkTank EV VOF · Calivoria Gifts & Living Isschotweg 229, 2222 Itegem (Heist-op-den-Berg), Belgium BE0672568108 · RPR Antwerpen, afdeling Mechelen info@calivoria.be · +32 15 64 00 99 I/we give notice that I/we withdraw from the contract for the following goods: Goods / order reference: Ordered on / received on: Consumer name(s): Consumer address: Email for confirmation: Signature (paper only): Date: Using this form is optional. Send before the withdrawal period expires. Online withdrawal: https://calivoria.be/withdraw