withdrawal form

MODEL OF WITHDRAWAL FORM
(This document or letter should only be completed and sent if you wish to withdraw from the contract)

Affair: Withdrawal of the contract


At:................................., at........... ../............/............


For the attention of:

Owner of the following online commerce website: lassique.com

Company Name: MANZANO PROYECTOS E INTERIORISMO SL
NIF: B16983181
Marqués de Nervión 89, 2ºa, 41005 Seville.
Telephone: 601190257
Email: sales@lassique.com

By means of the present, I/we inform you of my/our willingness to WITHDRAW our contract of sale of the following goods or products:


Type of product(s) and description of the same(s) (include, if applicable, the reference number):

................................................................ ................................................................ ..........................

Order number: ................................................................ ................................................................ ........

Date on which the order was placed or signed: ................................................................ ...............

Date of receipt of the order: ............................................ ................................................................ ..

Name and identity document (DNI/NIE/Passport) of the consumer(s) and user(s) (copy attached):

................................................................ ................................................................ ..........................

Address of the consumer(s) and user(s):

................................................................ ................................................................ ................................................................ ...

Telephone of the consumer(s) and user(s):

................................................................ ................................................................ ..........................

Email address of the consumer(s) and user(s):

................................................................ ................................................................ ..........................

Name and address of the recipient of the shipment (only if the address is different from that of the consumer(s) and user(s)) :

................................................................ ................................................................ .............................
................................................................ ......
Signature of the consumer(s) and user(s)
(Only if the form is submitted on paper)