WITHDRAWAL FORM

To:

I hereby declare that I exercise my right of withdrawal from the contract regarding the sale of the goods and/or the provision of the services stated below.

  • Contract date:

  • Delivery/performance date of the goods or services:

  • Goods or services subject to the right of withdrawal:

  • Consumer’s full name:

  • Consumer’s address:

  • Consumer’s signature: (Only if submitted on paper)

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