Model withdrawal form

MODEL WITHDRAWAL FORM

Fill in and return this form only if you wish to withdraw from

the contract for non‑customised goods.

To: Lei & Lu Elegance s.r.o.

Bidovce 316

044 45 Bidovce

Slovak Republic

Email: info@vilborgova.eu

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*)

contract of sale of the following goods (*)/for the provision of the

following service (*):

– Description of goods / 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: _________________________________________

(*) Delete as appropriate.