(Just fill it out and return it in case of cancellation / termination intent of the contract)

Címzett: Golden Life Trading S.L. (Sociedad de Responsabilidad Limitada)

Spain, 28001 Madrid, Calle Velázquez 15 1 DCHA 8.

E-mail: office@goldenlifetrading.com

The undersigned / We declare ………………………………………………………………… / We declare that I practice / intention of withdrawal / cancellation my right / our right to the following Product / s or below and selling a contract for the provision of services regarding:

Date of contract / receipt:

The name of the customer (s):

Address of consumer (s):

Signature of consumer (s):

Done at: