The model of withdrawal from the contract

The model of withdrawal from the contract
 

Below is a form of withdrawal from the contract.

Please, please select the form, copy (Ctrl + C) and paste it into a text editor (eg MSWord) and complete the "dotted part".

Form of withdrawal from the contract

(this form should be filled in and returned only if you wish to withdraw from the contract)

Addressee:

.................................................. ....................................

.................................................. ....................................

.................................................. ....................................

I / My * hereby inform / inform (*)

about my / our withdrawal from the sales contract

the following things:

.................................................. ....................................

.................................................. ....................................

.................................................. ...................................

Date of conclusion of the contract (*) / receipt (*): ...................................... ....................................

Name and surname of consumer (s): ......................................... .....................................

Consumer (s) address: ............................................ .................................................. ..

.................................................. .................................................. ........................................

.................................................. .................................................. ........................................

Date and signature of the consumer (s)

(only if the form is sent in paper version)

 (*) Delete as applicable.