B. Model withdrawal form

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

— To LIANA — Melissa Sopha, Kirchenheerweg 235, 21037 Hamburg, Germany, contact@lianashift.com, +49 1624018793:

— 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 (*1)/received on (*1),

— Name of consumer(s),

— Address of consumer(s),

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

— Date

(*1) Delete as appropriate.