MODEL WITHDRAWAL FORM Complete and return this form only if you wish to withdraw from a contract and a withdrawal right applies. To: Clyqra Björnsonsgatan 66, 168 44 Bromma, Sweden support@ateliersera.com I hereby give notice that I withdraw from my contract for the following product or service: Order reference: Ordered on / received on: Consumer name: Consumer address: Consumer signature (only if submitted on paper): Date: For immediately delivered digital content, the statutory withdrawal right may have ended after valid express consent and acknowledgement. Submitting this form does not determine eligibility; mandatory rights remain unaffected.