MODEL WITHDRAWAL FORM Complete and send this form only if you wish to withdraw from your purchase. Any other clear statement is also sufficient. To: Gatula ehf. Bíldshöfði 16, 110 Reykjavík, Iceland Email: support@gatula.com I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods: ____________________________________________________________ Order number (if available): ________________________________ Ordered on / received on (delete as appropriate): ____________ Name of consumer(s): ________________________________________ Address of consumer(s): _____________________________________ ____________________________________________________________ Signature of consumer(s), only if this form is sent on paper: ____________________________________________________________ Date: ______________________________________________________ Delete I/We and my/our as appropriate. You do not need our approval to send a valid withdrawal notice. See the Terms & Conditions for deadlines and return arrangements.