WITHDRAWAL FORM

W I T H D R AWA L F O R M This withdrawal form entitles you to withdraw from your contract within 14 working days from the day after you receive the delivery. If you would like to withdraw from your contract with us, please complete this form and return to us at the following address Oasis - Returns The Triangle Stanton Harcourt Ind. Est. Stanton OXON OX29 5UT I hereby notify the withdrawal from the contract related to the sale of the following products:

(*list products for which you wish to withdraw from) Ordered on the (*): (*please include your Order Date and Order Number this withdrawal form relates to) Delivered on the (*): (*please include your Delivered date) Customer name: Customer address:

Customer Signature (only required if this form is submitted by hard copy): Date: (*) Complete or delete as applicable.