Withdrawal

(complete and return this form only if you wish to withdraw from the contract)

• To gamigo US Inc., 3800 Quick Hill Road, Austin, TX 78728, USA, phone: +1 512 623 5900, email:
  [email protected]:
• I/We (*1) hereby give notice that I/We (*1) withdraw from my/our (*1) contract of sale of the
  following goods (*1)/for the provision of the following service (*1),
• Ordered on/received on (*),
• Name of consumer(s) ,
• Address of consumer(s),
• Signature of consumer(s) (only if this form is notified on paper)
• Date
  (*) Delete as appropriate.