(Complete and return this form only if you wish to withdraw from a contract for an order shipped to the United Kingdom or European Union. This form does not apply to orders shipped to the United States or any other country.)

To: Joseph Collard, d/b/a Designer Clothing Shop
Address: 2710 Fountain View Blvd., Cedar Hill, Texas 75104, USA
Fax: 469-454-4713
Email: info@designerclothing.shop

I/We [] hereby give notice that I/We [] cancel my/our [] contract of sale of the following goods [] / for the supply of the following service [ ],

Ordered on [] / received on []: ______________________________________

Name of consumer(s): ____________________________________________

Address of consumer(s): __________________________________________

Order Number / Reference: ________________________________________

Signature of consumer(s) (only if this form is notified on paper):

Date: _______________________________________________________________