Model withdrawal form
Fill in and return this form only if you wish to withdraw from the contract. Using it is optional — any clear statement is enough. Send it by email to [email protected], by post, or leave it at the drop-off point.
To:
Aleksandra Billi — OhSauco
ul. Pomorska 27, unit 3, 50-216 Wrocław, Poland
[email protected]
I/We(*) hereby give notice that I/we(*) withdraw from my/our(*) contract for the following service:
Service (Confirmation number or date)
Date the contract was concluded (Confirmation accepted)
Consumer's name
Consumer's address
Email or phone
Account number for the refund (only if you paid by transfer and want it sent elsewhere)
Date
Signature (paper version only)
(*) Delete as appropriate.
We will confirm receipt by email, and refund any payment within 14 days by the same payment method. See Right of withdrawal.