STANDARD WITHDRAWAL FORM

Annex 3 to the Danish Consumer Contracts Act (lov om forbrugeraftaler,
consolidated act no. 1184 of 28 September 2025). Complete and return this
form only if you wish to withdraw from the contract.

To:
  Apply in Denmark
  LEV Systems ApS
  Rådhusstræde 15, 1466 København K
  Email: support@applyindenmark.dk

- 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 consumer(s): ..........................................

  ......................................................................

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

  ......................................................................

- Date: ..........................................

(*) Delete as appropriate.

Using this form is optional. An email in your own words counts just as
much, as long as it says clearly that you withdraw. The full guidance is
at https://applyindenmark.dk/withdrawal