Declaration of withdrawal form

Declaration of withdrawal form

(Template)

(This form must be completed and returned only if you wish to withdraw from the contract)

 

Addressee:

Kinga Ogiegło Art Studio

ul. J. Piłsudskiego 17/2

32-600 Oswiecim,Poland

I hereby inform you of the withdrawal of the following product sales contract:

1) .............. - price: ..............,

2) .............. - price: ................

 

Order number:

The date of conclusion of the contract:

Name of the consumer:

Address of the consumer:

Please return to the following bank account: ....................................

 

Date ................................................. Signature............   

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