For the attention of: Name:
NIF:
Address:
Town:
Telephone:
E-mail:
Details of the good/service to be withdrawn:
Contract/order/invoice number:
Date of contract/order/invoice:
Date of receipt of the product/service:
Description of the product/service:
Consumer/user details:
Name:
Address:
Town:* Telephone
Telephone number: *
E-mail:
(* data not obligatory)
Right of withdrawal:
You may exercise the right of withdrawal within the period of 14 days established by law from the day following the date of a service contract or the day of receipt of a product. In accordance with article 71 of Law 3/2014, of 28 March, which amends the revised text of the General Law for the Defence of Consumers and Users and other complementary laws, I hereby inform you that I withdraw from the contract of sale of the good/performance described above within the established term, for which I would be grateful if you would contact me using the contact details provided, to notify me that this request has been made.
Date of request:
Signature of consumer/user:
