Withdrawal form template

Withdrawal form template

(Only complete and return this form if you wish to withdraw from the contract.)

For the attention of:
Boltania Moda
Calle Boltaña 90
28022 Madrid
Email: hola@boltaniamoda.es

I/We () hereby give notice that I/we withdraw from my/our () contract of sale of the following goods:

Order no.: ________

Product(s): ________

Date ordered: ________

Date received: ________

Consumer's name: ________

Consumer's address: ________

Consumer's signature (only if this form is submitted on paper):

Date: ________

(*) Delete as appropriate.