Model withdrawal form (Complete and return this form only if you wish to withdraw from the contract.) To: Emanuel José Vargas Luís, operating CopyLook Avenida do Atlântico 16, 14º, Escritório 8 1990-019 Lisboa, Portugal Email: support@getcopylook.com I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / for the provision of the following service (*): CopyLook Lifetime Ordered on (*) / received on (*): [date] Name of consumer(s): [name] Address of consumer(s): [address] Signature of consumer(s): [only if this form is sent on paper] Date: [date] (*) Delete as appropriate.