RETURN / WITHDRAWAL NOTICE Complete this form only if you wish to withdraw from your purchase. To: Rokero Gemstones Website: https://rokerogems.com/contact Contact telephone: +381 67 730 6463 I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods: Product(s): _______________________________________________ Order number / proof of purchase: _________________________ Ordered on: ______________________________________________ Received on: _____________________________________________ Name of consumer(s): _____________________________________ Address of consumer(s): __________________________________ Contact for confirmation: _________________________________ Date: ____________________________________________________ Signature of consumer(s) (only if sent on paper): __________ Send your completed notice through the contact page or an agreed contact channel. Keep a copy and proof of submission. No reason is required for withdrawal. Request the return address before sending goods back. You may also withdraw by another clear statement; this template is not the only way.