WITHDRAWAL FORM MODEL

WITHDRAWAL FORM MODEL

WITHDRAWAL FORM MODEL

(This document or letter must only be completed and sent if you wish to withdraw from the contract)

Subject: Withdrawal of the contract

In: …………………………….., to……….. ../……………/………..

For the attention of:

Dynamika Music Academy
CIF/NIF: G71431431
Address: Via Trento e Trieste 7 A, Arezzo, Italy.
Email: info@dinamikamusicacademy.com
Owner of the following online commerce website: https://dinamikamusicacademy.com/

I hereby inform you of my/our willingness to WITHDRAW from our contract for the sale of the following goods and/or provision of the following services:

Type of product(s) and/or service(s) and description of the same(s) (include, where applicable, the reference number):

Order No.:
Date on which the order was placed or subscribed:
Order receipt date:
Name and identity document (DNI/NIE/Passport) of the consumer(s) and user(s) (copy attached):

Address of the consumer(s) and user(s):

Telephone of the consumer(s) and user(s):

Email of consumer(s) and user(s):

Name and address of the recipient of the shipment (only if the address is different from that of the consumer(s) and user(s)):

 

 

 

………………………………………….. ……
Signature of the consumer(s) and user(s)
(Only if the form is submitted on paper)