Template of Withdrawal Form
Fill in and return this form only in case you wish to withdraw from the contract
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To
BRAND NAME: BILOLMAS EFSTRATIOS sigle business
ADDRESS: ATHENS
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STREET: KALLIDROMIOU 87-89
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P.C. : 10683
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ATHENS, GREECE
FAX:
E-mail: yesterdaysbreadathens@gmail.com
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- I/ We annonce (*) that i/ we withdraw (*) from our contract (*) of purchasing the undermentioned products
……………………………………………………………………………………..
……………………………………………………………………………………..
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- Which was/ were ordered on …../…../20… (*) / got received on …../……/20……
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- Fill in your personal information
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LAST NAME:
FIRST NAME:
ADDRESS:
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STREET:
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P.C.:
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CITY/ MUNICIPALY
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COUNTRY:
PHONE NUMBER (optional):
E-mail (optional):
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- Consumer’s signature (in case the form will be sent printed)
- Date …./…./20…
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(*) Delete the redundant indication.
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