Withdrawal form

You may use this form, but it is not mandatory. A withdrawal statement may also be submitted in another clear form.

To:
Stefania Copiuk — ForPaws
ul. Depowa 9G/90
15-381 Białystok, Poland
Email: forpawspl@gmail.com
Phone: +48 796 388 015

I hereby give notice that I withdraw from the sales contract for the following goods:

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

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

Date of contract / order: ..............................................

Date goods were received: ..............................................

Consumer's name: ........................................................

Consumer's address: .....................................................

Date: ....................................

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

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