Standard form for withdraw from the contract

Standard form for withdraw from the contract

(complete and send this form only if you wish to withdraw from the contract)

– To (merchant’s name, geographic address and, where applicable, fax number and email address to be filled in by merchant):

 

 

– I/we hereby notify* that I/we renounce* the contract concluded by me/us* for the purchase of the following goods*/for the provision of the following service*

 

 

– Ordered on*/Received on*

 

– Name of the user(s).

 

 

 

– Address of the user/s

 

 

 

– Signature of the user(s) (only if this form is on paper)

 

 

 

– Date

 

 

 

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*Unnecessary is crossed out.