MODEL WITHDRAWAL FORM
(complete and return this form only if you wish to withdraw from the contract)
Completing this form is not obligatory. You may also give notice of withdrawal by a statement in any form, sent by e-mail to info@ramunesnameile.lt.
To
Ramunė Burškaitienė, "RAMUNĖS nameilė"
Vilniaus g. 134, Šiauliai, Lithuania
info@ramunesnameile.lt
Notice
I / we* hereby give notice that I / we* withdraw from the contract of purchase and sale of the following goods*:
……………………………………………………..
Invoice number: ……………………………………………………..
Ordered* / received* (date): ……………………………………………………..
Name of consumer(s): ……………………………………………………..
Address of consumer(s): ……………………………………………………..
Signature of consumer(s) (only if this form is submitted on paper): ……………………………………………………..
Date: ……………………………………………………..
* Delete as appropriate.
