MODEL WITHDRAWAL FORM
Attachment No. 1
WITHDRAWAL FROM THE CONTRACT
[this form must be completed and returned only if you wish to withdraw from the contract].
Addressee:
Turbojulita Krzysztof Witek Sp. k. based in Wrocław,
Ul. Danuty Siedzikówny 2, 51-214 Wrocław.
I/We(*) hereby inform(*) about my/our(*) withdrawal from the sales contract of the following products:
1 ...............................................................................................................
Date of conclusion(*)/collection(*) .....................................................................
Name of consumer(s) .......................................................................
Address of consumer(s) ...................................................................................
Bank account number for reimbursement ................................................................
Signature of consumer(s) ..................................................................................
[only if this form is sent on paper]
Date ...........................................................................................................
(*) Delete as appropriate