Withdrawal form
(You only need to copy, complete and send this form if you wish to withdraw from the purchase contract)
You can send it by email or regular paper.
For the attention of:
MALTESITOS
Gustavo Terol Alcayde
CIF 22564091X
C/Fernando el Catolico 71, 9 - 46008 Valencia
Email: info@maltesitos.com
I hereby inform you that I withdraw from my contract for the sale of the following good or goods with
- Reference
- Reference
- Reference
- Reference
– Belonging to order no. with purchase date
- Name of the buyer
– Buyer's address
If the shipping address is different from that of the buyer, you must fill in the following information:
- Recipient's name
- Address of the recipient
consumer signature
Date (Only if this form is submitted on paper)
In ……………………………………………., the ………………. of ……………………..of 20……
Signature (only if submitted on paper):