CREATIVE STUDIO — MODEL WITHDRAWAL FORM
Sandbox preview. Complete and send this form only if you wish to withdraw.
You may also use any other unequivocal withdrawal statement.

To: La Porte B.V.
Nieuwe Leliestraat 133
1015 SN Amsterdam, Netherlands
Email: hello@5k.agency

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*)
contract for the supply of the following service:

Service / subscription:
Contract entered into on:
Name of consumer(s):
Address of consumer(s):
Account email (optional, to help identify the subscription):

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

(*) Delete as appropriate.

You do not have to give a reason. Do not include card details or passwords.