Model Withdrawal Form
(If you want to withdraw from the contract, please complete this form and return it to us.)

- To: Łukasz Lodwich, Złotej Lilii 6a, 51-376 Wrocław, email: [email protected]

- I/We (*) hereby withdraw from the contract concluded by me/us (*) concerning the purchase of the following goods (*)/provision of the following service (*)

- Ordered on (*)/received on (*)

- Name of consumer(s)

- Address of consumer(s)

- Signature of consumer(s) (only if notified on paper)

- Date

(*) Delete as appropriate.

Download the return form: Model Withdrawal Form

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