Right of withdrawal

Sample cancellation form pursuant to the Austrian FAGG

(If you wish to cancel the contract, please fill in and return this form)

- To Theresia Sommer, Brennleitenstrasse 29, 2202 Hagenbrunn, Österreich

Tel.: + 43 06643016754

E-Mail: theresia.sommer@aon.at

- I/we (*) hereby revoke the contract concluded by me/us (*) for the purchase of the following goods (*)/the provision of the following service (*).

- Ordered on (*)/received on (*)

- Name of the consumer(s)

- Address of the consumer(s)

- Signature of consumer(s) (only in case of paper communication)

- Date(s)
(*) Delete where inapplicable.