Annex 1 - a model withdrawal
Form of withdrawal from the contract
Addressee:
Em4is Marcin Świątek
ul. Ponarska 5 lok. 41
03-890 Warsaw
E-mail address: info@dosciekow.pl
I hereby inform about my withdrawal from the sales contract of the following items (if possible provide the order number):
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Consumer's name and surname:
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Consumer address:
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Consumer bank account number for reimbursement:
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Consumer signature - only when the form is sent in the paper version:
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Date of completion of the form:
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