Model Withdrawal Form

MODEL WITHDRAWAL FORM 
(Complete and return this form only if you wish to withdraw from the contract)

To:
ROYCE ROLL DESIGN GROUP, LLC d/b/a ICONS OF SKIN MAISON
1000 Brickell Avenue, Suite #715, Miami, FL 33131 USA.

Email: Returns@the-ios.maison

I / We (*) hereby give notice that I / We (*) withdraw from my / our (*) contract of sale of the following goods (*):

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.