Template of Withdrawal Form

Fill in and return this form only in case you wish to withdraw from the contract

  To

 

BRAND NAME: BILOLMAS EFSTRATIOS sigle business

 

ADDRESS: ATHENS

  • STREET: KALLIDROMIOU 87-89

  • P.C. : 10683

  • ATHENS, GREECE

 

FAX:

E-mail: yesterdaysbreadathens@gmail.com

-       I/ We annonce (*) that i/ we withdraw (*) from our contract (*) of         purchasing  the undermentioned products

……………………………………………………………………………………..

……………………………………………………………………………………..

-       Which was/ were ordered on …../…../20… (*) / got received on …../……/20……

 -       Fill in your personal information

LAST NAME:

FIRST NAME:

ADDRESS:

  • STREET:

  • P.C.:

  • CITY/ MUNICIPALY

  • COUNTRY:

PHONE NUMBER (optional):

E-mail (optional):

-       Consumer’s signature (in case the form will be sent printed)

-       Date  …./…./20…

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(*) Delete the redundant indication.