Model withdrawal form

Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract.

To: MB EME STILIUS, A. Juozapavičiaus pr. 31-10, LT-45257 Kaunas, Lithuania; info@emeboutique.com.

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods: __________

Ordered on (*) / received on (*): __________

Name of consumer(s): __________

Address of consumer(s): __________

Signature of consumer(s) (only if this form is submitted on paper): __________

Date: __________

(*) Delete as appropriate. Optional: order number __________.