Common use of Model withdrawal form Clause in Contracts

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 Berlin, e- mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 120144 - DE-10501 DE-10591 Berlin, e- e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx xxxxxxxxxxxxx@xx.xxxxxxx.xxx: – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 120144 - DE-10501 DE-10591 Berlin, e- mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- 73744 Ostfildern, Germany, e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx xxxxxxxxxxxxx@xx.xxxxxxx.xxx: – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete Complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, 73744 Ostfildern, Germany, e- mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (includ- ing FoD Single Service) (*)/for the provision of the following follow- ing service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- 73744 Ostfildern, Germany , e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx xxxxxxxxxxxxx@xx.xxxxxxx.xxx: – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 BerlinApartado 002016, e- mail EC Praca Municipio – Lisbon, 1101-001 Lisbon Portugal, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Porsche Connect Smart Mobility Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 120144 - DE-10501 DE-10591 Berlin, e- mail Germany, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete Complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- mail 73744 Ostfildern, Germany, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We we (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), ) – Ordered on(*)/received on (*), ) – Name of the consumer(s), ) – Address of the consumer(s), ) – Signature of the consumer(s) (only if this form is notified on paper), ) – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Porsche Connect Smart Mobility Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 120144 - DE-10501 DE-10591 Berlin, e- Germany, e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (including FOD Single Service) (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- mail 73744 Ostfildern, Germany, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 BerlinApartado 002016, e- EC Praca Municipio – Lisboa, 0000- 000 Xxxxxx, Xxxxxxxx, e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete Complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- mail address73744 Ostfildern, Germany, email ad- dress: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We we (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), ) – Ordered on(*)/received on (*), ) – Name of the consumer(s), ) – Address of the consumer(s), ) – Signature of the consumer(s) (only if this form is notified on paper), ) – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- 73744 Ostfildern, Germany, e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx xxxxxxxxxxxxx@xx.xxxxxxx.xxx: – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- mail 73744 Ostfildern, Germany, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete Complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, 73744 Ostfildern, Germany , e- mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (includ- ing FoD Single Service) (*)/for the provision of the following follow- ing service (*), – Ordered on(*)/received on (*), – Name of the consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 BerlinApartado 002016, e- EC Praca Municipio – Lisboa, 0000-000 Xxxxxx, Xxxxxxxx, e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx xxxxxxxxxxxxx@xx.xxxxxxx.xxx: – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete Complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 BerlinApartado 002016, e- mail EC Praca Municipio – Lisbon, 0000- 000 Xxxxxx, Xxxxxxxx, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx smartmobil- xxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We we (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), ) – Ordered on(*)/received on (*), ) – Name of the consumer(s), ) – Address of the consumer(s), ) – Signature of the consumer(s) (only if this form is notified on paper), ) – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- 73744 Ostfildern, Germany, e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, 73744 Ostfildern, Germany , e- mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date,

Model withdrawal form. (complete Complete and return this form only if you wish to withdraw from the contract) – To Contact Porsche Connect Support - c/o Porsche Smart Mobility Sales & Marketplace GmbH - P.O. Box 12014 - DE-10501 Berlin41 42, e- mail 73744 Ostfildern, Germany, email address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx – I/We (*) hereby give notice that I/We we (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), ) – Ordered on(*)/received on (*), ) – Name of the consumer(s), ) – Address of the consumer(s), ) – Signature of the consumer(s) (only if this form is notified on paper), pa- per) – Date

Model withdrawal form. (complete and return this form only if you wish to withdraw from the contract) – To Porsche Connect Support - c/o Porsche Smart Mobility Connect GmbH - P.O. Box 12014 120144 - DE-10501 DE-10591 Berlin, e- e-mail address: xxxxxxxxxxxxx@xx.xxxxxxx.xxx xxxxxxx@xx.xxxxxxx.xxx: – I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*), – Ordered on(*)/received on (*), – Name of consumer(s), – Address of the consumer(s), – Signature of the consumer(s) (only if this form is notified on paper), – Date