Appendix: Model withdrawal notice

To: Anthos Jewellery Kuyumculuk Sanayi ve Ticaret Ltd. Şti. — Harbiye Bostan Sokak, No:15, Orjin Apartmanı, Kat 5, Şişli, İstanbul 34367 — info@devinjewellery.com

I hereby give notice that I exercise my right of withdrawal from the contract for the sale of the products described below.

| Field | Information to complete
| Order date / number | ........................................................
| Delivery date | ........................................................
| Product(s) returned | ........................................................
| Name and surname | ........................................................
| Address | ........................................................
| Notice date | ........................................................
| Signature (only if sent on paper) | ........................................................

Use of this form is not mandatory; a written notice or a notice on a durable medium clearly expressing the intention to withdraw is sufficient.