WITHDRAWAL FORM
-To Whom:
With this form, I declare that I exercise my right to withdraw from the agreement in respect of the sale of the following goods or the provision of the following services.
- Order Date or Delivery Date:
-Goods or services subject to the right of withdrawal:
-Cost of the goods or services subject to the right of withdrawal:
-Consumer’s name and surname:
-Consumer’s address:
-Consumer’s signature:
-Date: