Declaration of Withdrawal

Declaration of Withdrawal Sample

(Fill out and return only if the contract is intended to be terminated)

Address: Éva Szabó Barna private entrepreneur

Return postal address: Mérey utca 16. 2nd floor 10th door, 6722 Szeged, Hungary

Return email address: evetkeswear@gmail.com

Phone Number 1: +36 20 4124 226

Phone Number 2: +381 61 6162 747

I/We, the undersigned, declare that I/We am/are exercising my/our right of withdrawal/termination of the contract for the sale of the following product (s):

Product Article number Name of Product

1. _________________________ _________________________

2. _________________________ _________________________

3. _________________________ _________________________

4. _________________________ _________________________

5. _________________________ _________________________

 

Date of contracting: ____________________

Name of consumer (s): ______________________

Address of consumer (s): ______________________

Signature of consumer (s): ____________________ (only on paper declaration)

Done at ________________ __________________