The standard form for exercising the right to refuse a contract is standard:

( please fill up and send this form the only way you wish and refuse the contract )

To Estira Ltd. with  UIC 205864538

With this notice / e, through which you refuse to exclude me / us contract for the

purchase, following goods/services ……………………………………………………………………………

…………………………………………………………………….…………………………………………………………………

………………………………………………………………………….……………………………………………………………

………..…………………………………………………………………………….……………………………………………….

Spoiled on / received on –order No ………………………………………………………………………………………………………………………………….……

We have on the consumer / it - ……………………………………………………………………………………………………………………………………….

Consumer / Address - ……………………………………………………………………………………………………….………………………………

Consumer / Signature: …………………………………………………….

(in the case of the present form e of the charter)

Date of: ……………………………………………