WITHDRAWAL REQEUST
Declaration of withdrawal from a distance contract
WITHDRAWAL FORM
(complete and return this form only if you wish to withdraw from the contract)
To
SITHOLIA, Polygyros Chalcidice Greece, Vatopedi, P.C. 63071, e-mail: info@sitholia.com.
I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods _______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Ordered on (*)/received on (*) _______________________
Name of consumer(s) ____________________________________________________
Address of consumer(s) ___________________________________________________
Telephone number of consumer(s) ___________________________________________
Signature of consumer(s) (only if this form is notified on paper)
___________________________________
Date _____________________
(*) Delete as appropriate.