MODEL WITHDRAWAL FORM FOR SERVICES Complete and return this form only if you wish to withdraw from the contract. To: Project P with Lolita Reid Skalpebekken 2, 3050 MjĂžndalen, Norway Email: info@lolitareid.com I/We hereby give notice that I/We withdraw from my/our contract for the supply of the following service: Service: Ordered on: Name of consumer(s): Address of consumer(s): Signature of consumer(s), only if sent on paper: Date: Delete whichever wording does not apply. You may instead send any clear statement of withdrawal before the applicable deadline. You do not have to use this form.