To: SIA CarContact, Rudens iela 3–38, Rīga, LV-1082, Latvia; info@rsdiag.com.
I hereby withdraw from my contract for the following RSDiag product: ______.
Order date and order number: ______.
Consumer's full name: ______.
Consumer's address: ______.
Account email to identify the order: ______.
Date of notice: ______.
Signature — only when submitted on paper.