GETOKEN - Model Withdrawal Form Last updated: 26 July 2026 If you wish to withdraw from the contract, please complete and return this form to: GETOKEN Kohlschütterstraße 1 06114 Halle (Saale) Germany Email: info@getoken.store I / We hereby withdraw from the contract concluded by me / us for the purchase of the following goods: ______________________________________________________________ ______________________________________________________________ Ordered on: ______________________________________________________________ Received on: ______________________________________________________________ Name of consumer(s): ______________________________________________________________ Address of consumer(s): ______________________________________________________________ ______________________________________________________________ Order number, if available: ______________________________________________________________ Date: ______________________________________________________________ Signature of consumer(s) only if this form is submitted on paper: ______________________________________________________________ Use of this form is optional.