To: Miłosz Protyński Services, NIP 8952072726 ul. Małopanewska 18a/5, 54-212 Wrocław, Poland Email: support@pawse.pl I hereby give notice of withdrawal from the contract for the following goods: … Order number (if available): … Order date / receipt date: … Consumer name and address: … Date: … Signature (paper form only): …