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):
........................................