EU WITHDRAWAL REQUEST FORM

Withdrawal Declaration

I hereby notify ADRIANNE K Clean Beauty that I wish to withdraw from my purchase of the product(s) listed above.

☐ I confirm that the information provided is accurate.

☐ I understand that products must be returned in accordance with ADRIANNE K Clean Beauty applicable return and withdrawal policies.

Customer Signature (if submitted on paper):

Date:

Return Instructions

After submitting this request, you will receive confirmation that your withdrawal request has been received. Additional instructions regarding product return and eligibility will be provided by email.

Business Contact Information

ADRIANNE K Clean Beauty

Email: info@adriannek.com