Withdrawal statement

ADDRESSED: WWW.GOLYOSPORT.COM Tamás Nagy Ev.

(ADDRESS: 2011 Budakalász Diófa u 27 ,
E-MAIL: WEBGOLYOSPORT@GMAIL.COM )

I, THE UNDERSIGNED, DECLARE THAT I/WE EXERCISE MY/OUR RIGHT OF WITHDRAWAL/TERMINATION WITH RESPECT TO THE CONTRACT FOR THE SUPPLY OF THE FOLLOWING PRODUCT(S) OR THE PROVISION OF THE FOLLOWING SERVICE:

…………………………………………………………………………………………………………………………………………………………………………………

DATE OF CONTRACT CONCLUSION / DATE OF ACCEPTANCE: …………………………………………………………

NAME OF CONSUMER(S): …………………………………………………………………………………………

ADDRESS OF CONSUMER(S): …………………………………………………………………………………………

ORDER IDENTIFIER: …………………………………………………………………………………………

PLEASE RETURN THE PURCHASE PRICE TO THE BANK ACCOUNT BELOW (FILL IN IF YOU PAID FOR YOUR ORDER BY CASH ON DELIVERY):
…………………………………………………………………………………………………………………………………………………………………………

SIGNATURE OF THE CONSUMER(S): (ONLY IN CASE OF DECLARATION MADE ON PAPER)

……………………………………………………………………………………

EAST: