For the attention of:


TIN: 47857153H
Address: C/ De les Eres, 40 – 43782 VILALBA DELS ARCS (Tarragona) Town: VILALBA DELS ARCS
Telephone number: 977438050
Email: vallespividal@gmail.com

Details of the goods/services to be withdrawn:

N.o of contract/order/invoice: Contract/order/invoice date:
Date of receipt of the product/service: Description of the product/service:

Customer details:

Name: Address: Town:
* Telephone: * Email:

(* non-mandatory data)

Right of withdrawal:

You may exercise the right of withdrawal within the period of 14 days established by law from the day following the date of a service contract or the day receiving a product.

In accordance with Article 71 of the Spanish Law 3/2014, of 28 March, which modifies the revised text of the Spanish General Law for the Defence of Consumers and Users and other complementary laws, I hereby inform you that I am withdrawing from the contract for the sale of the goods/services described above within the specified period, and I would therefore be grateful if you could contact me using the contact details provided to notify me confirming that the request has been received.

Date of request: Customer signature: