Complete and return this form only if you wish to withdraw from the contract.
To:Jose de Mora
El Monete Industrial Estate, nº31
21600 Valverde del Camino
H
Spain
Email: info@josedemora.com
Phone: [Phone number, if any]
I/We hereby give notice that I/we withdraw from my/our contract of sale of the following goods / for the supply of the following service:
______________________________________________________________
Ordered on / received on:
______________________________________________________________
Name of consumer(s):
______________________________________________________________
Address of consumer(s):
______________________________________________________________
Signature of consumer(s) (only if this form is notified on paper):
______________________________________________________________
Date:
______________________________________________________________
Source: Annex I, Part B of Directive 2011/83/EU of the European Parliament and of the Council on consumer rights.