Model withdrawal form

Use of this model is optional. We also accept any other clear statement by email or post.

Model withdrawal form

Complete and return this form only if you wish to withdraw from the contract.

To: REGYU WEB Kft.
4440 Tiszavasvári, Madách utca 45., Hungary
info@regyumarket.com

I/We hereby give notice that I/We withdraw from my/our contract of sale of the following goods / for the provision of the following service:

Goods / service: ____________________
Ordered on / received on: ____________________
Name of consumer(s): ____________________
Address of consumer(s): ____________________
Signature of consumer(s) (only if this form is notified on paper): ____________________
Date: ____________________

Delete as appropriate.