Right of revocation & revocation form
Right of revocation
Sítio da Boa Vista
Revocation form
(Complete and return this form only if you wish to withdraw from the contract.)
To
Algarvespice
Rodolfo Ferreira
Sítio da Boa Vista
8700-206 Quelfes/Olhão
Portugal
E-Mail: algarvespice@outlook.com
[enter the name, address and if appropriate, fax number and e-mail-address of the entrepreneur by the entrepreneur]:
I/We* hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*) / provision of the following service (*)
_______________________________________________
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Ordered on ___________________ (*)/received on _______________________(*)
Name of the consumer(s) ______________________________________
Address of the consumer(s)
_________________________________
_________________________________
_________________________________
_________ _____________________________________________________
Date signature of the consumer(s) (only with message on paper)
_____________________________________________________________________________________
(*) delete as applicable