Withdrawal form*

Addressee: Rábli Bence E. V. (address: 2051 Biatorbágy Ady Endre u. 22., e-mail: saltoneroshop@gmail.com)

 

I, the undersigned hereby declare that I exercise my right of withdrawal/termination as regards the contract for the sale of the Product(s) or the provision of the service indicated below:

 

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Date of the conclusion of the contract/date of acceptance: .............................................................................................

 

Name of the consumer: .........................................................................................................................................................

 

Address of the consumer: ....................................................................................................................................................

 

Please refund the purchase price by bank transfer to bank account under the following number (please fill it in if you request the purchase price to be refund by bank transfer):

 

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Consumer’s signature: (only for the statements made on paper)

 

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Place and date: