STANDARDBLANKETT FOR UTOVANDE AV ANGERRATTEN
(Model withdrawal form)

Fyll i och skicka in den har blanketten bara om du vill utova angerratten.
Complete and return this form only if you wish to withdraw from the contract.

Till / To:
  Jordi Bravo
  8 Rue de Stavelot
  L-2553 Luxembourg
  E-post / Email: hej@medborgarklar.com

Jag/vi meddelar harmed att jag/vi franträder mitt/vart kopeavtal avseende
foljande tjanst:
I/We hereby give notice that I/we withdraw from my/our contract of sale for
the following service:

  Tjanst / Service: Medborgarklar - full tillgang i 24 manader
                    Medborgarklar - full access for 24 months

  Bestalldes den / Ordered on: ................................

  Konsumentens namn / Name of consumer: ................................

  Konsumentens adress / Address of consumer: ................................
  ................................................................

  E-postadress som anvandes vid kopet / Email used for the purchase:
  ................................................................

  Konsumentens underskrift (endast pa papper) /
  Signature of consumer (only if notified on paper): ....................

  Datum / Date: ................................

Angerfristen ar 14 dagar fran den dag avtalet ingicks. Angerratten upphor for
digitalt innehall som levererats i sin helhet efter ditt uttryckliga samtycke
till omedelbar leverans.
The withdrawal period is 14 days from the day the contract was concluded. The
right of withdrawal ends for digital content supplied in full after your
express consent to immediate supply.