WITHDRAWAL DECLARATION TEMPLATE — SIDEWALK ART GALLERY Prepared for the future store launch. This preview does not accept orders. To: Lorena Scotellaro — Sidewalk Art Gallery Email: social.sidewalkartgallery@gmail.com Via Felice Cavallotti 257, 20099 Sesto San Giovanni (MI), Italy The physical goods return address will be communicated separately. I hereby give notice that I withdraw from the sale contract for these goods: ____________________________________________________________ Order number (if available): _________________________________ Ordered on: __________________ Received on: __________________ Consumer's full name: ________________________________________ Consumer's address: __________________________________________ Email for confirmation: ______________________________________ Date: _______________________________________________________ Signature (only when submitted on paper): ____________________ You do not need to provide a reason. This template is optional: you may use another clear statement of your decision to withdraw.