Withdrawal of a Private Order

(Not applicable for unsealed software, for commercial orders, and for customers outside the European Union)

If you wish to cancel a hardware order as a pivate consumer inside the European Union, please complete the fields behind ">" and return this form together with the hardware.

To:
Shamrock Software GmbH
Industriering 13
85238 Petershausen
Germany

I herewith withdraw the following contract of purchase:

> Product(s):
> Order date:
> Reception date:
> Reason of withdrawal (optional):

Name and address of consumer:

> Name:
> Street:
> ZIP, city, country:

> Signature of customer (if sent on paper):
> Date: