Withdrawal Form

Complete and submit this form only if you wish to withdraw from the purchase agreement. The withdrawal must be sent no later than the 14th day of the period.

Addressee: ZEN Capital s.r.o., Borovnice 67, 592 42 Borovnice, Czech Republic Company ID (IČO): 193 74 691 E-mail: info@ensolife.eu

I hereby give notice that I am withdrawing from the agreement for the purchase of the following goods:

Description of goods:

Order number:

Order date:

Date goods received:

Consumer's first and last name:

Consumer's address:

E-mail / phone:

Bank account number for refund (optional — provides a faster and easier refund; if left blank, the refund will be made using the same method you used for payment):

Consumer's signature (only if this form is submitted in paper form):

Date:

• Note for the customer: Please send this form by e-mail to info@ensolife.eu or by post to the address stated above. Using this form is not mandatory for withdrawing from the agreement — any other clear written notice (letter, e-mail) is also sufficient.