WITHDRAWAL TEMPLATE FOR A DIGITAL MAP CONTRACT Complete and send this only if you wish to withdraw from the contract. To: SkuteczneRaporty.pl Bartosz Czapiewski ul. św. Wincentego 128C/4, 03-291 Warsaw, Poland E-mail: contact@maps-for-excel.com I give notice of my withdrawal from the contract for supply of the following digital map: Date the contract was concluded: Consumer's name: Consumer's address: Signature (only if sent by post): Date: